DR. RONALD OTTO NOWACK (NPI# 1831243286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831243286 |
Entity Type | Individual |
Full Name | DR. RONALD OTTO NOWACK |
Credential | DC |
Practice Address |
16410 3rd St Ste A La Pine OR 97739 |
Mailing Address |
Po Box 740 La Pine OR 97739 |
Practice Telephone | 5415363693 |
Practice Fax Number | 5416369448 |
Mailing Telephone | 5415363693 |
Mailing Fax Number | 5416399448 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 272735 | OR | Chiropractic Providers |
Street Address |
16410 3RD ST STE A |
City | LA PINE |
State | OR |
Zip Code | 97739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174910897 | Hannah Noble | Occupational Therapist | 51340 Highway 97 # Or97739, La Pine, OR 97739 | 2015-04-21 |
1093145484 | Holly Lassen | Counselor | 51530 Huntington Rd Ste 5, La Pine, OR 97739 | 2013-11-20 |
1487899183 | Jennifer Ann Slater | Specialist | 16639 Box Way, Suite A, La Pine, OR 97739 | 2008-12-09 |
1003082652 | Jonathan Yang | Dentist | 16475 Bluewood Pl, Lapine, OR 97739 | 2008-05-05 |
1104943521 | Total Vision, Inc. | Technician/Technologist | 16487 Bluewood Place, Suite 2, La Pine, OR 97739 | 2007-03-22 |
1477613313 | David Kimlin Dunscombe | Dentist | 16440 3rd Street, La Pine, OR 97739 | 2006-12-11 |
1740349430 | Joannie J Miller | Nurse Practitioner | 51375 S Huntington Rd, La Pine, OR 97739 | 2006-12-08 |
1285677575 | Brice Tyler Stanley | Physician Assistant | 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | 2006-06-14 |
1922072909 | High Desert Therapy Associates Inc | Hospice Care, Community Based | 51681 Huntington Road, La Pine, OR 97739 | 2006-02-15 |
1578054748 | Therapeutic Associates, Inc | Occupational Therapist | 51681 Huntington Rd, La Pine, OR 97739 | 2018-05-23 |
Find all providers in zip 97739 |
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 |
---|---|---|---|---|
1801322359 | Andreas Daae Stridsland | Chiropractor | 51538 Highway 97, Ste 2a, La Pine, OR 97739-8957 | 2017-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093999 | Allison Robinson | Chiropractor | 1225 Multnomah Rd, Hood River, OR 97031-9713 | 2020-11-04 |
1073113635 | Adam Hernandez | Chiropractor | 10208 Sw Conestoga Dr Apt 41, Beaverton, OR 97008-8416 | 2020-10-31 |
1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
1053918193 | Evan Chin | Chiropractor | 3615 Sw Hall Blvd, Beaverton, OR 97005-2053 | 2020-10-01 |
1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
1013522358 | Terri Ann Truesdale | Chiropractor | 4455 Sw Salmon Pl, Redmond, OR 97756-1983 | 2020-09-14 |
1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
1902421811 | John Paul Hurd | Chiropractor | 21885 Or62, Shady Cove, OR 97539 | 2020-06-16 |
1396360210 | Urban Health Chiropractic LLC | Chiropractor | 1610 N Adair St Ste D, Cornelius, OR 97113-8832 | 2020-06-16 |
1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
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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.