MOBILE CHIROPRACTIC & MASSAGE, PLLC (NPI# 1699163709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699163709 |
| Entity Type | Organization |
| Organization Name | MOBILE CHIROPRACTIC & MASSAGE, PLLC |
| Other Organization Name | PROHEALTH CHIROPRACTIC & MASSAGE |
| Practice Address |
11111 Ne 8th St Suite 20 Bellevue WA 98004-4475 |
| Mailing Address |
15600 Ne 8th St B1-468 Bellevue WA 98008-3927 |
| Practice Telephone | 4232841441 |
| Practice Fax Number | 4232653111 |
| Mailing Telephone | 4232841441 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |
| Authorized Official Name | DR. STATEN C MEDSKER JR. (PRESIDENT) |
| Authorized Official Telephone | 4232841441 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2796 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ProHealth Chiropractic & Massage | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MOBILE CHIROPRACTIC & MASSAGE, PLLC | 3047 78th Ave Se # 207, Mercer Island, WA 98040 |
| Street Address |
11111 NE 8TH ST SUITE 20 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326558800 | Randi S Mcmichael Od Pllc | Clinic/Center | 15600 Ne 8th St # F13a, Bellevue, WA 98008-3927 | 2017-10-10 |
| 1629407010 | Abc Pharmacy Inc | Clinic/Center | 15600 Ne 8th St Ste K8, Bellevue, WA 98008-3989 | 2013-11-06 |
| 1407115660 | Hillcrest Home Care Inc. | Clinic/Center | 1902 Harlan Dr, Suite A, Bellevue, NE 68005-6609 | 2012-05-09 |
| 1689871659 | Vitality Chiropractic Center, Inc. | Clinic/Center | 410 Bellevue Way Se Ste 202, Bellevue, WA 98004-6649 | 2007-07-02 |
| 1629288618 | Careage Home Health LLC | Clinic/Center | 14450 Ne 29th Pl, Suite 106, Bellevue, WA 98007-8616 | 2007-05-22 |
| 1992118285 | Sound Sleep Solutions, LLC | Clinic/Center | 14655 Bel Red Rd, Suite #101, Bellevue, WA 98007-3900 | 2014-06-04 |
| 1750653374 | Wellnessone of Eastgate, Ps | Clinic/Center | 15100 Se 38th St, Suite 305b, Bellevue, WA 98006-1728 | 2012-01-27 |
| 1760751895 | Supportive Therapies, Pllc | Clinic/Center | 3805 108th Ave Ne, Bellevue, WA 98004-7613 | 2011-12-19 |
| 1295051316 | Active Spines Inc. | Clinic/Center | 1530 Bellevue Way Se, Suite C, Bellevue, WA 98004-7110 | 2010-04-14 |
| 1770638389 | Integrated Oriental Medicine, Ps | Clinic/Center | 12715 Bel Red Rd, Suite 204, Bellevue, WA 98005-2627 | 2007-01-24 |
| Find all providers in BELLEVUE | ||||
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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.