SOUTHRIDGE ADVANCED CHIROPRACTIC (NPI# 1699960351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699960351 |
| Entity Type | Organization |
| Organization Name | SOUTHRIDGE ADVANCED CHIROPRACTIC |
| Practice Address |
100 Peyton Way Suite 201 Charleston WV 25309-8572 |
| Practice Telephone | 8505570104 |
| Mailing Telephone | 8505570104 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | DR. JODY R EASTWOOD (OWNER) |
| Authorized Official Telephone | 8505570104 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 111N00000X | WV | Chiropractic Providers |
| Street Address |
100 PEYTON WAY SUITE 201 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25309-8572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851328116 | Cynthia H Mccall | Counselor | 100 Peyton Way, Charleston, WV 25314 | 2006-06-26 |
| 1346435799 | Heather Eastwood | Chiropractor | 100 Peyton Way, Suite 201, Charleston, WV 25309 | 2007-09-10 |
| 1912076639 | Douglas L Jackson | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8572 | 2006-11-07 |
| 1831284116 | Timothy Lawrence Thistlethwaite | Psychiatry & Neurology | 100 Peyton Way, Suite 100, Charleston, WV 25309-8767 | 2006-10-04 |
| 1386738508 | Tim Thistlethwaite, M.d. Pllc | Counselor | 100 Peyton Way, Suite 100, Charleston, WV 25309-8767 | 2006-10-03 |
| 1295839389 | Jody Ryan Eastwood | Chiropractor | 100 Peyton Way, Suite 201, Charleston, WV 25309-8572 | 2006-09-11 |
| 1306857743 | Julie Ann Sayre | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8767 | 2006-08-10 |
| 1083639421 | Rebecca Oyler Sullivan | Registered Nurse | 100 Peyton Way, Ste 200, Charleston, WV 25309-8767 | 2006-07-13 |
| 1245265206 | David Lee Caraway | Anesthesiology | 100 Peyton Way, Ste 200, Charleston, WV 25309-8767 | 2006-07-11 |
| 1497787501 | Gale A Thompson | Psychologist | 100 Peyton Way, Charleston, WV 25314 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| 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 |
|---|---|---|---|---|
| 1093314718 | Evan Patrick Mcmillion | Chiropractor | 149 E Bay St Ste 100, Charleston, SC 29401-2163 | 2020-10-23 |
| 1205467115 | Courtney Lynne Brandenburg | Chiropractor | 68 Line St Ste 1, Charleston, SC 29403-5681 | 2020-01-29 |
| 1093352429 | Leo John Ruettiger | Chiropractor | 1941 Savage Rd Ste 300d, Charleston, SC 29407-4790 | 2019-12-04 |
| 1720636079 | Sydnee Tolpa | Chiropractor | 3417 Shelby Ray Ct Ste C, Charleston, SC 29414-5895 | 2019-08-29 |
| 1669034609 | Sarah Kalani Wharton | Chiropractor | 1 Unity Aly Ste 100, Charleston, SC 29401-3057 | 2019-06-29 |
| 1831676931 | Kerri Domingo | Chiropractor | 714 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2018-07-23 |
| 1639696685 | Christopher Dixon | Chiropractor | 1483 Tobias Gadson Blvd Ste 106, Charleston, SC 29407-4795 | 2017-08-29 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1851833594 | Heather Haselden | Chiropractor | 102 Wappoo Creek Dr, Charleston, SC 29412-2133 | 2016-11-11 |
| 1366800088 | Edoardo C Pate | Chiropractor | 916 Stillwater Dr, Charleston, SC 29412-4927 | 2016-02-09 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on SOUTHRIDGE ADVANCED CHIROPRACTIC.
| 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.