DR. RICHARD GARY FRIED (NPI# 1710984174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710984174 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GARY FRIED |
| Credential | D.C. |
| Practice Address |
1715 5th Ave Moline IL 61265-7911 |
| Practice Telephone | 3097621050 |
| Practice Fax Number | 3097621064 |
| Mailing Telephone | 3097621050 |
| Mailing Fax Number | 3097621064 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-03-24 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275596405 | Richard Grant Fried | Family Medicine | 1375 Hares Hill Road, Kimberton, PA 19442 | 2006-04-10 |
| 1750441051 | Richard Peter Fried | Internal Medicine | 15 W 72nd St, No.1n, New York, NY 10023-3402 | 2006-12-11 |
| 1467470328 | Richard Lawrence Fried | Internal Medicine | 195 East Main Street, Huntington, NY 11743-2921 | 2006-07-18 |
| 1801835426 | Richard G Fried | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2006-06-06 |
| Street Address |
1715 5TH AVE |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-7911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306085428 | Tiffany Zimmerman Dc PC | Chiropractor | 1715 5th Ave, Moline, IL 61265 | 2009-02-12 |
| 1861522195 | Tiffany Ann Zimmerman | Chiropractor | 1715 5th Ave, Moline, IL 61265-7911 | 2007-03-06 |
| 1225039324 | Geraldine Marie Kruckenberg | Chiropractor | 1715 5th Ave, Moline, IL 61265-7911 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528188208 | Lonnie L Rinell | Chiropractor | 2809 16th St, Moline, IL 61265-6039 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535531 | Dr. Carrie Skony, LLC | Chiropractor | 3080 Ogden Ave Ste 202, Lisle, IL 60532-1694 | 2020-07-22 |
| 1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
| 1972975464 | Loop Spine & Sports Center, Ltd. | Chiropractor | 30 N Michigan Ave Ste 605, Chicago, IL 60602-3806 | 2015-10-23 |
| 1437539400 | Loop Chiropractic & Sports Injury Center | Chiropractor | 19 S La Salle St, Suite 503, Chicago, IL 60603-1401 | 2015-06-04 |
| 1154689933 | Scott Family Chiropractic Clinic PC | Chiropractor | 4180 Rfd Ste 83, Suite 100, Long Grove, IL 60047-9580 | 2012-04-30 |
| 1891071114 | Nowicki Chiropractic Corporation | Chiropractor | 1841 Hicks Rd, Suite C, Rolling Meadows, IL 60008-1250 | 2011-11-01 |
| 1659652196 | Lauren Natalie Wills | Chiropractor | 1710 E 1st St, Sterling, IL 61081-2902 | 2011-08-29 |
| 1598055808 | Cherniak Family Chiropractic, PC | Chiropractor | 203 W Prairie St, Marengo, IL 60152-2136 | 2011-04-08 |
| 1356572564 | Josh Hover | Chiropractor | 8424 Skokie Blvd, Ste. 207, Skokie, IL 60077-2568 | 2009-08-05 |
| 1063685246 | Thomas Burton Sperry | Chiropractor | 2585 Ogden Ave, Downers Grove, IL 60515-1708 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
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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.