THE ROESKE CLINIC, PC (NPI# 1720200116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720200116 |
| Entity Type | Organization |
| Organization Name | THE ROESKE CLINIC, PC |
| Practice Address |
757 Concord Rd Se Smyrna GA 30082-2626 |
| Practice Telephone | 7704350200 |
| Practice Fax Number | 7704354362 |
| Mailing Telephone | 7704350200 |
| Mailing Fax Number | 7704354362 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | DR. RICH ROESKE (OWNER) |
| Authorized Official Telephone | 7704350200 |
| Authorized Official Credential | DC, DABCO, DABCN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
CHIR001370 | GA | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CHIR001242 | GA | Chiropractic Providers |
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
CHIR001242 | GA | Chiropractic Providers |
| Street Address |
757 CONCORD RD SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619059649 | Gail Callard Roeske | Chiropractor | 757 Concord Rd Se, Smyrna, GA 30082-2626 | 2006-10-19 |
| 1730425786 | Nguyen Chiropractic LLC | Chiropractor | 757 Concord Rd Se, Smyrna, GA 30082-2625 | 2012-12-19 |
| 1417249673 | My Q Nguyen | Chiropractor | 757 Concord Rd Se, Smyrna, GA 30082-2625 | 2011-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619059649 | Gail Callard Roeske | Chiropractor | 757 Concord Rd Se, Smyrna, GA 30082-2626 | 2006-10-19 |
| 1396827325 | Richard Alan Roeske | Chiropractor | 757 Concord Rd. Se, Smyrna, GA 30082-2626 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891299970 | Zach Walker | Chiropractor | 6715 Us-41, Ringgold, GA 30736 | 2018-03-22 |
| 1558861906 | Dylan Michael Saulsbery | Chiropractor | 1415 Barclay Cir Se Ste C, Marietta, GA 30060-2943 | 2018-02-12 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1285152470 | Marc Charles Case | Chiropractor | 775 Kingsbay Rd Ste A, Saint Marys, GA 31558-3886 | 2017-09-07 |
| 1396102281 | Elias Druckman | Chiropractor | 1950 Spectrum Cir Se Ste 200, Marietta, GA 30067-8469 | 2016-01-22 |
| 1831565084 | Bethany Miteiko | Chiropractor | 6109 Falling Water Ct, Roswell, GA 30076-8836 | 2015-08-11 |
| 1407291461 | Benjamin Behrendt | Chiropractor | 4000 Riverlook Pkwy Se, Unit 208, Marietta, GA 30067-4846 | 2013-05-05 |
| 1851638449 | Lavan Family Chiropractic, LLC | Chiropractor | 2090 Sugarloaf Pkwy, Suite 115, Lawrenceville, GA 30045-9402 | 2013-01-16 |
| 1972851152 | Timika Lashaun Frazier | Chiropractor | 1712 Penny Ln Se, Marietta, GA 30067-4434 | 2012-08-20 |
| 1700163508 | Claire S Lavan | Chiropractor | 2090 Sugarloaf Pkwy Ste 115, Lawrenceville, GA 30045-9402 | 2011-11-08 |
| 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.