GREG MCGILLIVRAY (NPI# 1699771337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699771337 |
| Entity Type | Individual |
| Full Name | GREG MCGILLIVRAY |
| Credential | D.C. |
| Practice Address |
215 N Central Ave Duluth MN 55807-2402 |
| Practice Telephone | 2186280646 |
| Practice Fax Number | 2186281889 |
| Mailing Telephone | 2186280646 |
| Mailing Fax Number | 2186281889 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3296 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 350055889 | 01 | |
| MN | BCBS | 63G94MC | 01 |
| AMERICAN CHIROPRACTIC NET | 4442055 | 01 | |
| MN | 616826400 | 05 |
| Street Address |
215 N CENTRAL AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740634443 | Richard Olson | Pharmacist | 215 N Central Ave, Duluth, MN 55807-2402 | 2016-04-19 |
| 1598128241 | Holly Lynn Ahnen | Pharmacist | 215 N Central Ave, Duluth, MN 55807-2402 | 2016-03-31 |
| 1427411081 | Solomon Siaw Baah | Pharmacist | 215 N Central Ave, Duluth, MN 55807-2402 | 2016-03-31 |
| 1619340437 | Access Music Therapy, LLC | Music Therapist | 215 N Central Ave, Duluth, MN 55807-2402 | 2015-11-02 |
| 1609204379 | Sears Holding | Clinic/Center | 215 N Central Ave, Duluth, MN 55807-2402 | 2013-10-16 |
| 1598026759 | Susan Duckworth | Social Worker | 215 N Central Ave, Duluth, MN 55807-2402 | 2012-06-05 |
| 1922039924 | K Mart Corp | Durable Medical Equipment & Medical Supplies | 215 N Central Ave, Duluth, MN 55807-2402 | 2006-07-06 |
| 1538198494 | Maryanne Quackenbush | Social Worker | 215 N Central Ave, Duluth, MN 55807-2402 | 2006-07-02 |
| 1164429163 | Lake Superior Physical Therapy Inc | Physical Therapist | 215 N Central Ave, 14b, Duluth, MN 55807-2402 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| Find all providers in zip 55807 | ||||
| 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 |
|---|---|---|---|---|
| 1164034591 | Chantelle Frazier | Chiropractor | 2131 Pleasant Hill Rd Ste 122, Duluth, GA 30096-4657 | 2020-08-18 |
| 1396371571 | Northern Lakes Chiropractic LLC | Chiropractor | 2340 Mountain Shadow Dr, Duluth, MN 55811-3809 | 2020-03-19 |
| 1578113973 | Chester Creek Chiropractic | Chiropractor | 1324 E 4th St Ste A, Duluth, MN 55805-2335 | 2019-09-17 |
| 1467007997 | Pleasant Hill Chiropractic | Chiropractor | 4390 Pleasant Hill Rd Ste G, Duluth, GA 30096-8054 | 2019-08-01 |
| 1851951024 | Marian Denisse Ortiz Rodriguez | Chiropractor | 3775 Venture Dr Bldg F, Duluth, GA 30096-5102 | 2019-06-19 |
| 1396234613 | Sangsoo Lee | Chiropractor | 2148 Duluth Highway 120 Ste 110, Duluth, GA 30097-4504 | 2018-05-02 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1942708235 | Kyle Severson | Chiropractor | 224 E Central Entrance Ste C, Duluth, MN 55811-5518 | 2018-02-01 |
| 1669987228 | Frances Hearn | Chiropractor | 2719 Irene Cir, Duluth, GA 30096-4149 | 2017-12-05 |
| 1467966911 | Corey Steven Milbrandt | Chiropractor | 925 E Superior St Ste 112, Duluth, MN 55802-2253 | 2017-11-20 |
| Find all providers in DULUTH | ||||
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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.