SOUTHEAST IOWA CHIROPRACTIC LLC (NPI# 1609376730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609376730 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST IOWA CHIROPRACTIC LLC |
| Practice Address |
104 Elmdale Ave Ottumwa IA 52501-1234 |
| Practice Telephone | 6416824476 |
| Practice Fax Number | 6416824476 |
| Mailing Telephone | 6416824476 |
| Mailing Fax Number | 6416824476 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | DR. NATHAN D OVERTURF (OWNER) |
| Authorized Official Telephone | 6416824476 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 007267 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0002556 | 05 |
| Street Address |
104 ELMDALE AVE |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1891128849 | Gooden Family Chiropractic LLC | Chiropractor | 1223 Theatre Dr Ste B, Ottumwa, IA 52501-3772 | 2013-08-13 |
| 1619282001 | Nathan D Overturf | Chiropractor | 508 N Ferry St, Ottumwa, IA 52501-4107 | 2010-08-10 |
| 1326366097 | Richard W Rupp | Chiropractor | 641 Pennsylvania Ave, Ottumwa, IA 52501-2116 | 2010-05-05 |
| 1669567764 | Eric Daniel Payne | Chiropractor | 418 Church St, Ottumwa, IA 52501-4213 | 2006-10-04 |
| 1134168677 | David James Tucker | Chiropractor | 121 S Court St, Ottumwa, IA 52501-2519 | 2006-06-06 |
| 1992769855 | Bruce Lindberg | Chiropractor | 297 Richmond Ave, Ottumwa, IA 52501 | 2006-04-17 |
| 1568437952 | Jason John Sothman | Chiropractor | 213 N Washington St, Ottumwa, IA 52501-2535 | 2006-02-21 |
| 1518930312 | Brent Cullinan | Chiropractor | 801 N Quincy Ave, Ottumwa, IA 52501-3850 | 2006-02-10 |
| 1720068612 | Thomas M Cosgrove | Chiropractor | 1429 Albia Rd, Ottumwa, IA 52501-3946 | 2006-01-18 |
| Find all providers in OTTUMWA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.