GARRISON WEAVER-GOURDEAU (NPI# 1619419413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619419413 |
| Entity Type | Individual |
| Full Name | GARRISON WEAVER-GOURDEAU |
| Credential | D.C. |
| Practice Address |
4115 South St Lakewood CA 90712-1043 |
| Practice Telephone | 5624081140 |
| Mailing Telephone | 5624081140 |
| Mailing Fax Number | 5624081141 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 33614 | CA | Chiropractic Providers |
| Street Address |
4115 SOUTH ST |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396810313 | Haygood Chiropractic, Inc. | Chiropractor | 4115 South St, Lakewood, CA 90712-1043 | 2006-11-22 |
| 1992321459 | Anthony Gabriel Silva II | Chiropractor | 4115 South St, Lakewood, CA 90712-1043 | 2020-06-21 |
| 1770116808 | Lisa Jo Brown | General Practice | 4115 South St, Lakewood, CA 90712-1043 | 2020-02-17 |
| 1205475738 | Woo-ming Medical Group, PC | General Practice | 4115 South St, Lakewood, CA 90712-1043 | 2020-01-01 |
| 1396033171 | Lisa M Chan | Acupuncturist | 4115 South St, Lakewood, CA 90712-1043 | 2011-07-14 |
| 1194034488 | Gail Duane Kelley | Chiropractor | 4115 South St, Lakewood, CA 90712-1043 | 2010-10-04 |
| 1982927141 | Michelle M. Litzinger Chiropractic, Inc. | Chiropractor | 4115 South St, Lakewood, CA 90712-1043 | 2010-03-02 |
| 1902062805 | Michelle Marie Litzinger | Chiropractor | 4115 South St, Lakewood, CA 90712-1043 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| 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 |
|---|---|---|---|---|
| 1548860836 | Kirton Chiropractic LLC | Chiropractor | 6841 W Asbury Pl, Lakewood, CO 80227-2690 | 2020-10-27 |
| 1205453396 | Brittni Ann Reid | Chiropractor | 1360 S. Wadsworth Blvd, Suite #104, Lakewood, CO 80232 | 2020-07-06 |
| 1881214617 | Back 2 Life Chiropractic | Chiropractor | 8409 Spruce St Sw, Lakewood, WA 98498-2343 | 2020-04-22 |
| 1922646967 | Palmercare Chiropractic Lakewood, Inc. | Chiropractor | 12051 W Alameda Pkwy # D4, Lakewood, CO 80228-2701 | 2019-12-19 |
| 1568009470 | Allison June Workman Thompson | Chiropractor | 1394 Cranford Ave, Lakewood, OH 44107-2310 | 2019-12-10 |
| 1124586284 | Alan Palzer | Chiropractor | 4518 Josie Ave, Lakewood, CA 90713-2716 | 2019-03-07 |
| 1518423177 | Aligned Health Chiropractic LLC | Chiropractor | 305 S Kipling St # C2, Lakewood, CO 80226-2700 | 2019-02-19 |
| 1073078580 | Lauren M Sullivan | Chiropractor | 305 S Kipling St Ste C2, Lakewood, CO 80226-2700 | 2019-02-08 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1730677485 | Inspired Chiropractic & Wellness Inc | Chiropractor | 15644 Madison Ave Ste 213, Lakewood, OH 44107-5622 | 2018-04-27 |
| Find all providers in LAKEWOOD | ||||
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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.