MR. STEPHEN SCOTT TENNISWOOD (NPI# 1609931948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609931948 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN SCOTT TENNISWOOD |
| Credential | DC |
| Practice Address |
4010 Page Ave # 104 Michigan Center MI 49254 |
| Mailing Address |
4010 Page Ave # 104 Michigan Center MI 49254-1026 |
| Practice Telephone | 5177645305 |
| Practice Fax Number | 5176475417 |
| Mailing Telephone | 5177645305 |
| Mailing Fax Number | 5176475417 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010392 | MI | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2186 Commons Pkwy, Okemos, MI 488643986 | 5173472222 | 5173472233 |
| Street Address |
4010 PAGE AVE # 104 |
| City | MICHIGAN CENTER |
| State | MI |
| Zip Code | 49254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083971436 | Kathleen Victoria Viola | Dermatology | 4304 Page Ave, Ste 200, Michigan Center, MI 49254 | 2012-04-23 |
| 1821199589 | Mary Lou Sommerfield | Physical Therapist | 4304 Page Ave Ste 100, Michigan Center, MI 49254 | 2006-09-26 |
| 1720134786 | Dawn E Wesenberg | Physician Assistant | 4328 Page Ave, Michigan Center, MI 49254 | 2007-01-25 |
| 1790906394 | John Gregory Palanci | Dentist | 4010 Page Avenue, Michigan Center, MI 49254-0497 | 2007-05-01 |
| 1801378971 | Tenniswood Chiropractic LLC | Chiropractor | 4010 Page Ave Ste 104, Michigan Center, MI 49254-1026 | 2018-09-05 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1871725473 | Wendy Louise Hastings | Registered Nurse | 4328 Page Ave, Michigan Center, MI 49254-1036 | 2009-08-14 |
| 1386869899 | Kevin R Timm | Dentist | 4519 Page Ave, Michigan Center, MI 49254-1039 | 2007-04-17 |
| 1871642330 | Joseph A Mayo Jr Dc PC | Chiropractor | 4640 Page Ave, Michigan Center, MI 49254-1042 | 2007-01-10 |
| 1083798946 | Anthony Griffeth Hunter | Pharmacist | 4646 Page Ave, Michigan Center, MI 49254-1042 | 2006-10-25 |
| Find all providers in zip 49254 | ||||
| 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 |
|---|---|---|---|---|
| 1801378971 | Tenniswood Chiropractic LLC | Chiropractor | 4010 Page Ave Ste 104, Michigan Center, MI 49254-1026 | 2018-09-05 |
| 1871642330 | Joseph A Mayo Jr Dc PC | Chiropractor | 4640 Page Ave, Michigan Center, MI 49254-1042 | 2007-01-10 |
| 1659322683 | Joseph A Mayo Jr. | Chiropractor | 4640 Page Ave, Michigan Center, MI 49254-1042 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
| 1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
| 1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
| 1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
| 1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
| 1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
| 1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CENTER |
| Zip Code | 49254 |
Please comment or provide details below to improve the information on MR. STEPHEN SCOTT TENNISWOOD.
| 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.