JOHN JAMES ANDERSON (NPI# 1740234509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740234509 |
| Entity Type | Individual |
| Full Name | JOHN JAMES ANDERSON |
| Credential | D.C. |
| Practice Address |
215 N Black River St Sparta WI 54656-1529 |
| Mailing Address |
415 W Wisconsin St Ste 4 Sparta WI 54656-2492 |
| Practice Telephone | 6082694511 |
| Practice Fax Number | 6082698511 |
| Mailing Telephone | 6082694511 |
| Mailing Fax Number | 6092698511 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3614-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | 350052230 | 01 |
| WI | RAILROAD MEDICARE GROUP | CB3715 | 01 |
| WI | 38923500 | 05 | |
| WI | MEDICAID CLINIC NUMBER | 38993500 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251551 | John David Anderson | In Home Supportive Care | 6904 Joseph Drive, Enon, OH 45323-1448 | 2020-09-30 |
| 1689207433 | John William Anderson | Pharmacist | 5580 Hwy 70, Marshall, NC 28753 | 2020-02-20 |
| 1760956197 | John Elmer Anderson | Specialist/Technologist | 2201 University Dr, Lemont Furnace, PA 15456-1025 | 2019-01-18 |
| 1780123216 | John Fred Anderson Jr. | Student in an Organized Health Care Education/Training Program | 17093 Palisades Cir, Pacific Palisades, CA 90272-2139 | 2017-02-16 |
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1033457809 | John Charles Anderson | Hearing Instrument Specialist | 116 Pennton Ave Sw Ste D, Lenoir, NC 28645-4377 | 2013-01-29 |
| 1093008138 | John Anderson | Acupuncturist | 7427 Se Woodstock Blvd, Portland, OR 97206-5838 | 2011-05-24 |
| 1649578212 | John Littleton Anderson V | Marriage & Family Therapist | 4908 Valley Ridge Ave, Los Angeles, CA 90043-1029 | 2011-03-07 |
| 1770880817 | John Edward Anderson Jr. | Psychologist | 6600 Beachview Dr, 400, Rancho Palos Verdes, CA 90275-5877 | 2011-02-25 |
| 1235435637 | John David Anderson | Urology | 4469 Green Valley Road, Fairfield, CA 94534-1365 | 2011-02-02 |
| Street Address |
215 N BLACK RIVER ST |
| City | SPARTA |
| State | WI |
| Zip Code | 54656-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487606935 | John Lodico Jr. | Chiropractor | 215 N Black River St, Sparta, WI 54656-1529 | 2006-05-16 |
| 1811092091 | Lance Albert Wulf | Chiropractor | 215 N Black River St, Sparta, WI 54656-1529 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| Find all providers in zip 54656 | ||||
| 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 |
|---|---|---|---|---|
| 1942709787 | Bernadette Ann Vallorosi | Chiropractor | 53 Sparta Ave, Sparta, NJ 07871-1814 | 2018-02-07 |
| 1558872366 | John Richard Kopp | Chiropractor | 415 W Wisconsin St Ste 4, Sparta, WI 54656-2493 | 2017-10-19 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1407224389 | Chiropractic Health Clinic of Sparta, LLC | Chiropractor | 33 Woodport Rd, Sparta, NJ 07871-2431 | 2015-09-09 |
| 1104161744 | Heath Gilman Foster | Chiropractor | 9 Cook St, Sparta, TN 38583-1570 | 2012-12-09 |
| 1346534039 | Lynnmarie Skipper Leyder | Chiropractor | 542 S State St, Sparta, MI 49345-1547 | 2011-05-31 |
| 1811223050 | Freeland Chiropractic Center P.C. | Chiropractor | 200 East Division Street, Sparta, MI 49345 | 2009-10-22 |
| 1851521421 | Daniel William Scarffe | Chiropractor | 450 S State St, Suite 1, Sparta, MI 49345-1582 | 2009-07-17 |
| 1710176672 | Pine Cone Chiropractic | Chiropractor | 10 Pine Cone Lane, Sparta, NJ 07871-2302 | 2007-10-17 |
| 1831318641 | Robert Duane Klingensmith | Chiropractor | 771 S Main St, Sparta, NC 28675 | 2007-04-24 |
| Find all providers in SPARTA | ||||
Please comment or provide details below to improve the information on JOHN JAMES ANDERSON.
| 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.