PHILLIP L SHOUPPE (NPI# 1699818104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699818104 |
| Entity Type | Individual |
| Full Name | PHILLIP L SHOUPPE |
| Credential | DC |
| Practice Address |
4266 Cottage Hill Rd Mobile AL 36609-4277 |
| Mailing Address |
Po Box 9607 Mobile AL 36691-0607 |
| Practice Telephone | 2516661656 |
| Practice Fax Number | 2516661656 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1117 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 70957 | 01 |
| UNITED HEALTH CARE | 4410010 | 01 | |
| HEALTH SPRINGS | T68567 | 01 |
| Street Address |
4266 COTTAGE HILL RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356811392 | Jeffrey Allen Young | Chiropractor | 4266 Cottage Hill Rd, Ste 4, Mobile, AL 36609-4277 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| 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 |
|---|---|---|---|---|
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1184251324 | Body Mind & Spine | Chiropractor | 960 Schillinger Rd S Ste D, Mobile, AL 36695-8977 | 2020-03-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1295387660 | Jordan William Moore | Chiropractor | 7921 Tanner Williams Rd Ste B, Mobile, AL 36608-8303 | 2019-07-15 |
| 1356811392 | Jeffrey Allen Young | Chiropractor | 4266 Cottage Hill Rd, Ste 4, Mobile, AL 36609-4277 | 2018-12-03 |
| 1871069427 | Abbie Lin Parrish | Chiropractor | 1110 Hillcrest Rd Ste 1f, Mobile, AL 36695-3954 | 2018-10-22 |
| 1447752167 | Trina Gail Clark | Chiropractor | 740 Schillinger Rd S Ste B2, Mobile, AL 36695-8961 | 2018-03-08 |
| 1205351863 | Chirosouth Spine and Sport LLC | Chiropractor | 277 Mcgregor Ave S, Mobile, AL 36608-2340 | 2017-08-04 |
| 1548655632 | Samantha Chirichella | Chiropractor | 6345 Cottage Hill Rd, Suite D, Mobile, AL 36609-3114 | 2015-04-06 |
| 1942566575 | Petrey Chiropractic LLC | Chiropractor | 6356 Cottage Hill Rd, Mobile, AL 36609-3111 | 2012-04-09 |
| Find all providers in MOBILE | ||||
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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.