PATCH MOVEMENT PLLC (NPI# 1629420765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629420765 |
| Entity Type | Organization |
| Organization Name | PATCH MOVEMENT PLLC |
| Other Organization Name | HEALTHSOURCE OF BISMARCK SOUTH |
| Practice Address |
232 W Front Ave Bismarck ND 58504-5503 |
| Practice Telephone | 7017511660 |
| Practice Fax Number | 7017513717 |
| Mailing Telephone | 7017511660 |
| Mailing Fax Number | 7017513717 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | DR. CARLYLE W SCOTT (OWNER) |
| Authorized Official Telephone | 7017511660 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 946 | ND | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 18040 | 05 |
| Other Name | Type Code |
|---|---|
| HealthSource of Bismarck South | Doing Business As Name - Organization |
| Street Address |
232 W FRONT AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265877492 | Carlyle William Scott | Chiropractor | 232 W Front Ave, Bismarck, ND 58504 | 2013-05-01 |
| 1093150294 | Nelson Scott Partnership | Chiropractor | 232 W Front Ave, Bismarck, ND 58504 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1528557006 | Mees Physical Therapy LLC | Physical Therapist | 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 | 2018-05-09 |
| 1437666856 | Katy Thomas | Social Worker | 3315 University Drive, Bismasrck, ND 58504 | 2018-01-08 |
| 1407396864 | Allison Bitz | Social Worker | 600 S. Second St., Suite 220, Bismarck, ND 58504 | 2017-03-06 |
| 1306397831 | Evan Morehead | Specialist/Technologist | 5160 Lincoln Road, Lincoln, ND 58504 | 2016-10-19 |
| 1902262520 | Stacey S Haugen, Pllc | Counselor | 6221 University Drive, Bismarck, ND 58504 | 2016-01-12 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1154727873 | William J Kucera | Physical Therapist | 324 Marietta Dr, Bismarck, ND 58504 | 2014-11-06 |
| Find all providers in zip 58504 | ||||
| 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 |
|---|---|---|---|---|
| 1932731726 | Hannah Christine Jangula | Chiropractor | 2523 Railroad Ave, Ste 1, Bismarck, ND 58501-5072 | 2020-02-10 |
| 1922576529 | Brooke A Breuer | Chiropractor | 215 W Main Ave, Bismarck, ND 58501-3741 | 2018-11-13 |
| 1700376340 | Peak Chiropractic Inc. | Chiropractor | 1684 Capitol Way, Bismarck, ND 58501-2193 | 2018-05-17 |
| 1497203061 | Bismarck Sports and Spine | Chiropractor | 3526 Hackberry St, Bismarck, ND 58503-0244 | 2016-09-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| 1932565595 | Alpha Chiropractic PC | Chiropractor | 125 Slate Dr, Suite 1, Bismarck, ND 58503-6174 | 2016-01-12 |
| 1043675705 | Matthew Franck | Chiropractor | 125 Slate Drive, Suite 1, Bismarck, ND 58503-6174 | 2015-12-23 |
| 1073989729 | Balanced Health Chiropractic & Wellness, PC | Chiropractor | 3831 Lockport St, Suite B, Bismarck, ND 58503-5539 | 2015-08-17 |
| 1316388093 | Alex Barry Coleman I | Chiropractor | 2000 N 12th St # 101, Bismarck, ND 58501-1905 | 2013-07-10 |
| 1649615667 | Lindsey Marie Brew | Chiropractor | 4501 Coleman St. N., Suite 106, Bismarck, ND 58503-1427 | 2013-05-03 |
| Find all providers in BISMARCK | ||||
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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.