GARY J RADER DC PC (NPI# 1669464061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669464061 |
| Entity Type | Organization |
| Organization Name | GARY J RADER DC PC |
| Other Organization Name | RADER CHIROPRACTIC CENTER |
| Practice Address |
95 Armory Rd Stratford CT 06614-1702 |
| Practice Telephone | 2033776927 |
| Practice Fax Number | 2033810606 |
| Mailing Telephone | 2033776927 |
| Mailing Fax Number | 2033810606 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. GARY JOSEPH RADER (PRESIDENT(CHIROPRACTIC PHYSICIAN)) |
| Authorized Official Telephone | 2033776927 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Rader Chiropractic Center | Doing Business As Name - Organization |
| Street Address |
95 ARMORY RD |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952855942 | Marissa Lavin | Nurse Practitioner | 95 Armory Rd, Stratford, CT 06614-1753 | 2016-08-08 |
| 1902283062 | Stratford Acupuncture & Wellness Center | Acupuncturist | 95 Armory Rd, Stratford, CT 06614-1753 | 2015-04-28 |
| 1346595337 | Chinyere Uzoamaka | Internal Medicine | 95 Armory Rd, Stratford, CT 06614-1753 | 2012-07-17 |
| 1962700252 | Susan M Storck | Nurse Practitioner | 95 Armory Rd, Stratford, CT 06614-1753 | 2011-03-10 |
| 1932407442 | Joseph C Downer Jr. | Acupuncturist | 95 Armory Rd, Stratford, CT 06614-1753 | 2011-03-08 |
| 1619298056 | Matthew Chere | Chiropractor | 95 Armory Rd, Stratford, CT 06614-1753 | 2010-06-21 |
| 1447291497 | Marina Blagodatny | Internal Medicine | 95 Armory Rd, Stratford, CT 06614-1753 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| 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 |
|---|---|---|---|---|
| 1740648997 | Align Wellness Center LLC | Chiropractor | Ep1007 Equity Rd, Stratford, WI 54484 | 2016-02-03 |
| 1164796629 | Dale Thompson | Chiropractor | 813 Shakespeare Ave, Stratford, IA 50249-7774 | 2012-03-01 |
| 1578851945 | Erin Elizabeth Shook | Chiropractor | 125570 Balsam Rd, Stratford, WI 54484 | 2011-07-19 |
| 1639321581 | Rebecca Jo Olli | Chiropractor | 223 N 3rd Avenue, Stratford, WI 54484 | 2008-10-22 |
| 1720272743 | Janice Akn Kenneally | Chiropractor | 655 Success Ave, Stratford, CT 06614-4571 | 2007-09-03 |
| 1376687913 | Stratford Chiropractic Clinic | Chiropractor | 223 North 3rd Avenue, Suite D, Stratford, WI 54484 | 2007-02-16 |
| 1205920378 | John Edward Dombroski | Chiropractor | 3466 Main St, Stratford, CT 06614-4118 | 2006-10-03 |
| 1023047495 | Patricia O'brien | Chiropractor | 321 Yale Ave, A, Stratford, NJ 08084-1247 | 2006-06-30 |
| 1255368981 | Robert O'brien | Chiropractor | 321 Yale Ave Ste A, Stratford, NJ 08084-1247 | 2006-06-27 |
| 1508822750 | Daniel D Lincoln | Chiropractor | 3355 Main St, Stratford, CT 06614-4845 | 2006-04-25 |
| Find all providers in STRATFORD | ||||
Please comment or provide details below to improve the information on GARY J RADER DC PC.
| 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.