CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER (NPI# 1629345277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629345277 |
Entity Type | Organization |
Organization Name | CHIROPRACTIC MEDICAL KY PAIN RELIEF CENTER |
Practice Address |
525 W 5th St Suite 320 Covington KY 41011-1259 |
Mailing Address |
Po Box 176385 Covington KY 41017-6385 |
Practice Telephone | 8592915775 |
Practice Fax Number | 8592915774 |
Mailing Telephone | 8592915775 |
Mailing Fax Number | 8592915774 |
Enumeration Date | 2011-11-28 |
Last Update Date | 2011-11-28 |
Authorized Official Name | DR. SAMUEL FORLENZA JR. (PRESIDENT) |
Authorized Official Telephone | 8592915775 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 4063 | KY | Chiropractic Providers |
Y | 208D00000X | General Practice | 28974 | KY | Allopathic & Osteopathic Physicians |
Street Address |
525 W 5TH ST SUITE 320 |
City | COVINGTON |
State | KY |
Zip Code | 41011-1259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518435759 | Valencia Deshane Dickerson | Counselor | 525 W 5th St, Covington, KY 41011-1259 | 2018-11-06 |
1295124527 | Micah Noyes | Counselor | 525 W 5th St, Covington, KY 41011-1259 | 2015-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
Find all providers in zip 41011 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275198400 | Jodene Marie Nagel | General Practice | 13091 Brown Bridge Rd, Covington, GA 30016-9109 | 2019-05-02 |
1720527260 | Ochsner Clinic LLC | General Practice | 1111 Greengate Dr, Ste B, Covington, LA 70433-5269 | 2017-02-16 |
1023467834 | Szczepanski Medical LLC | General Practice | 71107 Highway 21 Ste 2, Covington, LA 70433-7243 | 2016-06-13 |
1811356884 | Ochsner Clinic LLC | General Practice | 1341 Ochsner Blvd, Covington, LA 70433-8172 | 2016-02-18 |
1922340793 | Robert John Amato | General Practice | 141 Lakeview Cir, Covington, LA 70433-7513 | 2013-03-20 |
1215197884 | Gary James French | General Practice | 1200 Champagne St, Covington, LA 70433-5643 | 2008-06-16 |
1780695148 | Robert Lee Faulkner Jr. | General Practice | 4186 Mill St, Covington, GA 30014 | 2006-08-11 |
1942833827 | Axis Risk LLC | General Practice | 6142 Gordy Street, Covington, GA 30014 | 2020-02-19 |
1275083529 | Ochsner Clinic LLC | General Practice | 1203 S Tyler St, Covington, LA 70433-2353 | 2016-10-11 |
1942683180 | Ochsner Clinic LLC | General Practice | 71211 Highway 21, Ste B, Covington, LA 70433-7121 | 2015-07-07 |
Find all providers in COVINGTON |
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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.