DR. JEFFREY LEON PRUSKI (NPI# 1801996020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801996020 |
Entity Type | Individual |
Full Name | DR. JEFFREY LEON PRUSKI |
Credential | D.C. |
Practice Address |
100 Medical Center Pkwy Ste 100 Huntsville TX 77340-4959 |
Practice Telephone | 9362951777 |
Practice Fax Number | 9362953680 |
Mailing Telephone | 9362951777 |
Mailing Fax Number | 9362953680 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5291 | TX | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS I.D. | 84V270 | 01 |
Street Address |
100 MEDICAL CENTER PKWY STE 100 |
City | HUNTSVILLE |
State | TX |
Zip Code | 77340-4959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487252441 | Courtney Marie Colley | Physical Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2020-10-13 |
1295359263 | Caitlyn Aizpiri | Occupational Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2020-06-04 |
1013546027 | Lauren Robbins | Occupational Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2020-04-02 |
1396375572 | Amanda Marie Coffey | Occupational Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2020-01-16 |
1093379836 | Sarah Molina | Occupational Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2019-04-26 |
1386119642 | Kelly Nicole Rose | Occupational Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2018-10-12 |
1497235667 | Molly Latoche | Physical Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2018-08-17 |
1497242184 | Cayla Marie Weber | Speech-Language Pathologist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2018-04-18 |
1902301401 | Samantha Marie Sheppard | Speech-Language Pathologist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2018-03-27 |
1386146421 | Alexis Fritz | Occupational Therapist | 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 | 2018-03-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
Find all providers in zip 77340 |
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 |
---|---|---|---|---|
1811518913 | David Tyler Brown | Chiropractor | 2605 Old Fairway Rd Ste 100, Huntsville, AL 35806-6401 | 2020-04-29 |
1790339778 | Cove Chiropractic Inc. | Chiropractor | 7900 Bailey Cove Rd Se Ste E, Huntsville, AL 35802-3324 | 2019-07-29 |
1598258303 | Robert Taylor Wesson | Chiropractor | 2717 Downing St Se, Huntsville, AL 35801-2266 | 2018-06-07 |
1154834067 | Bagwell Chiropractic | Chiropractor | 2915b Bob Wallace Ave Sw, Huntsville, AL 35805-4107 | 2017-11-14 |
1932612827 | Hunter Patrick Lee | Chiropractor | 806 Governors Dr Sw Ste 102, Huntsville, AL 35801-5133 | 2017-11-14 |
1629524079 | Back Pain Relief Chiropractic LLC | Chiropractor | 2400 Bob Wallace Ave Sw Ste 204, Huntsville, AL 35805-4775 | 2016-08-26 |
1407215726 | Advanced Health Management, LLC | Chiropractor | 303 Williams Ave Sw Ste 135, Huntsville, AL 35801-6001 | 2016-02-15 |
1336523042 | North Alabama Spine & Rehab, LLC | Chiropractor | 2312 Market Pl Sw Ste B, Huntsville, AL 35801-5212 | 2015-07-13 |
1649652066 | Dr. Jamies Wellness Center LLC | Chiropractor | 917 Merchants Walk Sw, Suite A, Huntsville, AL 35801-5268 | 2015-06-22 |
1942698279 | P3 Chiropractic and Sports Care, Inc. | Chiropractor | 2050 South Point Park Cir., Suite 150, Huntsville, AL 35801 | 2015-01-09 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 77340 |
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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.