JEFFREY CARL PEDERSEN (NPI# 1639161516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639161516 |
| Entity Type | Individual |
| Full Name | JEFFREY CARL PEDERSEN |
| Credential | D.C. |
| Practice Address |
2920 W Park Row Dr #100 Pantego TX 76013-2041 |
| Practice Telephone | 8172771111 |
| Practice Fax Number | 8178614593 |
| Mailing Telephone | 8172771111 |
| Mailing Fax Number | 8178614593 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4106 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316478290 | Jeffrey Pedersen | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-03-23 |
| 1629151428 | Jeffrey R Pedersen | Family Medicine | 14402 E Sprague Ave, Spokane Valley, WA 99216-2167 | 2006-10-23 |
| Street Address |
2920 W PARK ROW DR #100 |
| City | PANTEGO |
| State | TX |
| Zip Code | 76013-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058608 | Elizabeth Ann Tufts | Occupational Therapist | 701 Buffalodr, Arlington, TX 76013 | 2020-03-17 |
| 1467087262 | Janet Kay Mcconnell | Nurse Practitioner | 3008 West Park Row, Arlington, TX 76013 | 2020-03-12 |
| 1922660281 | Debra Rockmore | Health Educator | 1148 W. Pioneer Pkwy, Arlington, TX 76013 | 2019-07-07 |
| 1164906830 | Misty Ely | Social Worker | 1615 W. Abram Street, Suite 200c, Arlington, TX 76013 | 2018-09-19 |
| 1457834194 | Queen Mercedes Bibbs | Licensed Vocational Nurse | 4046 Woodland Park Blvd, Apt 208, Arlington, TX 76013 | 2018-09-10 |
| 1487136560 | Ashtin Torrez | Specialist/Technologist | 801 Greek Row Dr., Arlington, TX 76013 | 2018-09-05 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1659876787 | Matthew Long | Specialist/Technologist | 1300 Briarwood Blvd, Arlington, TX 76013 | 2018-03-29 |
| 1407358963 | Spencer Reed Coomer | Specialist/Technologist | 1300 Briarwood Boulevard, Arlington, TX 76013 | 2018-03-01 |
| 1881132454 | Lorinda March | Speech-Language Pathologist | 1405 Lyra Lane, Arlington, TX 76013 | 2017-02-03 |
| Find all providers in zip 76013 | ||||
| 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 |
|---|---|---|---|---|
| 1740770353 | Djorn Greg Bain | Chiropractor | 2313 W Arkansas Ln Ste 102, Pantego, TX 76013-6034 | 2018-05-18 |
| 1568971471 | Keeton Perry | Chiropractor | 2401 W Pioneer Pkwy Ste 145, Pantego, TX 76013-6038 | 2017-09-22 |
| 1174897581 | Capuli Chiropractic Healthcare PC | Chiropractor | 2223 W Park Row Dr, Suite C, Pantego, TX 76013-3496 | 2012-03-02 |
| 1679718183 | Healthworks of Arlington, LLC | Chiropractor | 2400 W Pioneer Pkwy, Suite 100, Pantego, TX 76013-6058 | 2008-12-12 |
| 1831361351 | Robert T Aldridge | Chiropractor | 2400 W Pioneer Pkwy Ste 100, Pantego, TX 76013-6091 | 2008-03-25 |
| 1639218415 | Randall Warren Martin | Chiropractor | 3343 W Pioneer Pkwy, Pantego, TX 76013-4603 | 2007-02-06 |
| 1255330577 | Robert Thurston Aldridge | Chiropractor | 2401 W Pioneer Pkwy, Suite 145, Pantego, TX 76013-6056 | 2005-07-19 |
| 1154886091 | Matthew Aaron Ortega | Chiropractor | 2401 W Pioneer Pkwy Ste 145, Pantego, TX 76013-6038 | 2019-02-05 |
| 1528544954 | Jonathan Parks | Chiropractor | 2401 W Pioneer Pkwy Ste 145, Pantego, TX 76013-6038 | 2018-07-18 |
| 1124536982 | Nicole Ashley Whitby | Chiropractor | 2401 W Pioneer Pkwy Ste 145, Pantego, TX 76013-6038 | 2018-01-15 |
| Find all providers in PANTEGO | ||||
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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.