DR. DAVID ELLIS BEAUCHAMP (NPI# 1790870038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790870038 |
Entity Type | Individual |
Full Name | DR. DAVID ELLIS BEAUCHAMP |
Credential | D.C. |
Practice Address |
3706 River Rd Sterling IL 61081-4204 |
Practice Telephone | 8156266357 |
Practice Fax Number | 8156266376 |
Mailing Telephone | 8156266357 |
Mailing Fax Number | 8156266376 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-03-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BC/BS OF IL | 988-2010 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316406499 | David M Beauchamp | Physician Assistant | 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 | 2019-03-18 |
1023192556 | David N. Beauchamp | Dentist | 709 E Shotwell St, Bainbridge, GA 39819-4063 | 2006-10-24 |
1205822897 | David A Beauchamp | Anesthesiology | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2005-09-20 |
Street Address |
3706 RIVER RD |
City | STERLING |
State | IL |
Zip Code | 61081-4204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962609867 | David E. Beauchamp, D.c., P.C. | Chiropractor | 3706 River Rd, Sterling, IL 61081-4204 | 2007-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
1043736473 | Miranda Foster | Dentist | 415 Locus St, Ste A, Sterling, IL 61081 | 2017-08-17 |
1740614320 | Wesley Alfred Vermies | Pharmacist | 2901 E. Fourth St, Sterling, IL 61081 | 2013-08-30 |
1285974311 | Occupational Health Services 1 | Clinic/Center | 4204 E Lincolnway Ave., Suite D, Sterling, IL 61081 | 2013-02-27 |
1912259185 | James S. Ferris, D.d.s., P.C. | Durable Medical Equipment & Medical Supplies | 2000 N Locust St Ste. B, Sterling, IL 61081 | 2012-10-11 |
1801148127 | Sauk Valley Physical Therapy, Inc. | Clinic/Center | 4204 E Lincolnway Ave, Suite D, Sterling, IL 61081 | 2012-10-10 |
1447534938 | Kayla Elizabeth Roth | Physical Therapist | 4204 East Lincolnway Avenue, Suite D, Sterling, IL 61081 | 2011-10-04 |
1912217951 | Ajay Katiyar | Optometrist | 4304 E Lincolnway Ave, Sterling, IL 61081 | 2010-10-08 |
1083851000 | Donald Francis Kurten | Dentist | 2000 N. Locust, Suite D, Sterling, IL 61081 | 2009-01-13 |
1841462306 | Steven Eric Carlson | Chiropractor | 2317 E Lincolnway Ste B, Sterling, IL 61081 | 2008-03-25 |
Find all providers in zip 61081 |
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 |
---|---|---|---|---|
1801494950 | Advanced Chiropractic & Sports Rehabilitation | Chiropractor | 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 | 2020-10-12 |
1255986303 | Connect First Family Chiropractic | Chiropractor | 21631 Ridgetop Cir Ste 225b, Sterling, VA 20166-6742 | 2019-08-06 |
1356810170 | Michael Robert Brower | Chiropractor | 21631 Ridgetop Cir Ste 155, Sterling, VA 20166-6618 | 2018-11-21 |
1730680166 | Debarun Borthakur | Chiropractor | 20 Pidgeon Hill Dr Ste 102, Sterling, VA 20165-6134 | 2018-02-21 |
1538566658 | Eric E Gaumer | Chiropractor | 3512 E Lincolnway Ste A, Sterling, IL 61081-7622 | 2014-12-04 |
1326475732 | Eric Richard Saxton | Chiropractor | 21240 Ridgetop Cir, Suite 105, Sterling, VA 20166-6560 | 2013-09-30 |
1124356456 | Palmercare Chiropractic LLC | Chiropractor | 46169 Westlake Dr Ste 300, Sterling, VA 20165-5875 | 2009-11-24 |
1841462306 | Steven Eric Carlson | Chiropractor | 2317 E Lincolnway Ste B, Sterling, IL 61081 | 2008-03-25 |
1346421005 | B. Free Chiropractic Services, Inc. | Chiropractor | 2202 Locust St, Sterling, IL 61081-1110 | 2007-11-21 |
1396948618 | Carrson Mcdowell Morris | Chiropractor | 100 East St. Se Suite 103, Sterling, VA 22180 | 2007-06-06 |
Find all providers in STERLING |
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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.