DR. ALBERT J ANTONELLO (NPI# 1871660969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871660969 |
| Entity Type | Individual |
| Full Name | DR. ALBERT J ANTONELLO |
| Credential | D.C. |
| Practice Address |
468 Northampton St Edwardsville PA 18704-4566 |
| Practice Telephone | 5707145050 |
| Practice Fax Number | 5707142928 |
| Mailing Telephone | 5707145050 |
| Mailing Fax Number | 5707142928 |
| Enumeration Date | 2006-11-30 |
| 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 | DC-007275-L | PA | Chiropractic Providers |
| Street Address |
468 NORTHAMPTON ST |
| City | EDWARDSVILLE |
| State | PA |
| Zip Code | 18704-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225088347 | Dasa Satyam | Anesthesiology | 468 Northampton St, Edwardsville, PA 18704-4566 | 2006-05-11 |
| 1164047718 | Commonwealth Pain and Wellness Center LLC | Pain Medicine | 468 Northampton St, Edwardsville, PA 18704-4566 | 2020-06-10 |
| 1336527316 | Rohit Singh Md PC | Anesthesiology | 468 Northampton St, Ste 103, Edwardsville, PA 18704-4566 | 2015-05-11 |
| 1902075617 | Keystone Pain Center LLC | Anesthesiology | 468 Northampton St, Edwardsville, PA 18704-4566 | 2008-02-27 |
| 1568543965 | Vna An Affiliate of Wvhcs | Home Health | 468 Northampton St, Edwardsville, PA 18704-4599 | 2006-10-18 |
| 1992886394 | Vna An Affiliate of Wvhcs | Hospice Care, Community Based | 468 Northampton St, Edwardsville, PA 18704-4599 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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 |
|---|---|---|---|---|
| 1578191953 | Ravi Vinubhai Patel | Chiropractor | 115 Homestead Ct, Edwardsville, IL 62025-5545 | 2020-03-31 |
| 1831735521 | Chiro One Wellness Center of Edwardsville, LLC | Chiropractor | 6654 Edwardsville Crossing Dr Ste H, Edwardsville, IL 62025-2706 | 2019-11-18 |
| 1699320879 | Pablo Orozco | Chiropractor | 503 E Vandalia St, Edwardsville, IL 62025-1893 | 2019-08-05 |
| 1699232637 | Integrative Performance Medical Group, Pllc | Chiropractor | 200 S Buchanan St, Edwardsville, IL 62025-2109 | 2019-02-26 |
| 1114475290 | Nicholas Morey Rozell | Chiropractor | 1254 University Dr Ste 120, Edwardsville, IL 62025-5583 | 2016-09-16 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1376930305 | Select Spine & Rehab LLC | Chiropractor | 4 157 Ctr, Edwardsville, IL 62025-3657 | 2015-04-16 |
| 1457786766 | Daniel Lewis Strom | Chiropractor | 10601 Kaw Dr Ste 3-c, Edwardsville, KS 66111-1130 | 2013-09-05 |
| 1003154378 | Jacob M Funk, LLC | Chiropractor | 1409 Troy Rd, Edwardsville, IL 62025-2532 | 2013-01-22 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 18704 |
Please comment or provide details below to improve the information on DR. ALBERT J ANTONELLO.
| 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.