DR. TROY D. ELDRIDGE SR. (NPI# 1891845046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891845046 |
| Entity Type | Individual |
| Full Name | DR. TROY D. ELDRIDGE SR. |
| Credential | D.C. |
| Practice Address |
18 W. 1st Avenue Odessa WA 99159 |
| Mailing Address |
Po Box 560 Odessa WA 99159-0560 |
| Practice Telephone | 5099822880 |
| Mailing Telephone | 5099822880 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 025202 CH0000321 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 106781 | 01 |
| WA | 2021327 | 05 |
| Street Address |
18 W. 1ST AVENUE |
| City | ODESSA |
| State | WA |
| Zip Code | 99159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699977561 | Eldridge Chiropractic Ps | Chiropractor | 18 W. 1st Avenue, Odessa, WA 99159 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831683168 | Gregg Liedtka Dmd Pllc | Dentist | 20 W 1st Ave, Odessa, WA 99159 | 2018-06-20 |
| 1780746859 | Marlene K Brendell | Family Medicine | 510 E. Amende, Odessa, WA 99159 | 2006-12-15 |
| 1023122520 | Lincoln County Public Hospital District 1 | Clinic/Center | 510 E Amende, Odessa, WA 99159 | 2006-08-19 |
| 1114031614 | Lincoln County Public Hospital District 1 | Assisted Living Facility | 506 E. Amende, Odessa, WA 99159 | 2006-08-19 |
| 1639283971 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | E. 502 Amende, Odessa, WA 99159 | 2006-08-17 |
| 1245343193 | Lincoln County Public Hospital District 1 | Ambulance | 502 E Amende, Odessa, WA 99159 | 2006-08-16 |
| 1073524690 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | 502 E. Amende, Odessa, WA 99159 | 2006-08-10 |
| 1740317544 | Lincoln County Public Hospital District 1 | Family Medicine | 510 E. Amende, Odessa, WA 99159 | 2007-02-27 |
| 1477666311 | Lincoln County Public Hospital District 1 | Skilled Nursing Facility | 502 E. Amende, Odessa, WA 99159 | 2006-08-16 |
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| Find all providers in zip 99159 | ||||
| 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 |
|---|---|---|---|---|
| 1174148050 | 100 Percent Chiropractic Ronmartin LLC | Chiropractor | 15989 Preserve Marketplace Blvd, Odessa, FL 33556-5509 | 2020-06-16 |
| 1366741134 | Christopher D Cummins | Chiropractor | 8615 Andrews Hwy, Odessa, TX 79765-2834 | 2011-03-19 |
| 1215234414 | Mason Ryan Steen | Chiropractor | 3110 E. University, Suite B, Odessa, TX 79762 | 2011-02-24 |
| 1356642102 | Ronald Bernard Martin Jr. | Chiropractor | 15993 Preserve Marketplace Blvd, Odessa, FL 33556-5509 | 2010-11-10 |
| 1790914620 | Michele Gene Munoz | Chiropractor | 8050 E Highway 191 Ste 202, Odessa, TX 79765-8615 | 2009-07-13 |
| 1952555211 | Clark Chiropractic Clinic | Chiropractor | 6301 Eastridge Rd, Odessa, TX 79762-5045 | 2008-11-12 |
| 1831375781 | Defrance, Inc. | Chiropractor | 3110 E University Blvd Ste B, Odessa, TX 79762-6955 | 2008-01-10 |
| 1013139153 | The Ftb Group, Inc. | Chiropractor | 421 N 1st St, Suite C, Odessa, MO 64076-5242 | 2007-05-02 |
| 1659406502 | Odessa Chiropractic Association, P.a. | Chiropractor | 1607 E 8th St, Odessa, TX 79761-4806 | 2007-02-22 |
| 1619012366 | Gerald Ray Beaty | Chiropractor | 2100 N Grandview, Odessa, TX 79761 | 2007-02-20 |
| Find all providers in ODESSA | ||||
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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.