KEN ZOODSMA & ASSOCIATES (NPI# 1912116914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912116914 |
| Entity Type | Organization |
| Organization Name | KEN ZOODSMA & ASSOCIATES |
| Practice Address |
749 Riverside Drive Ln Macon GA 31201-2658 |
| Mailing Address |
12485 Concord Hall Dr Alpharetta GA 30005-4386 |
| Practice Telephone | 4783906321 |
| Mailing Telephone | 4783906321 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH ROGER ZOODSMA (PRESIDENT) |
| Authorized Official Telephone | 4783906321 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR005027 | GA | Chiropractic Providers |
| Street Address |
749 RIVERSIDE DRIVE LN |
| City | MACON |
| State | GA |
| Zip Code | 31201-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| 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 |
|---|---|---|---|---|
| 1811516891 | G. Clark Stull, Dc PC | Chiropractor | 2169 Ingleside Ave, Macon, GA 31204-2029 | 2020-04-10 |
| 1255718789 | Yolanda Granberry-baker | Chiropractor | 1091 Overlook Pkwy, #618, Macon, GA 31210-5796 | 2015-05-05 |
| 1033459300 | Advance Wellness First | Chiropractor | 3355 Pio Nono Ave, Suite 7, Macon, GA 31206-3000 | 2013-02-25 |
| 1164728648 | Causey Chiropractic, LLC | Chiropractor | 1023 Riverside Dr, Macon, GA 31201-1913 | 2011-02-01 |
| 1780999474 | Chiromed Care of Stockbridge LLC | Chiropractor | 1818 Forsyth St, Suite 200, Macon, GA 31201-1183 | 2010-08-18 |
| 1700021698 | Fusion Back and Body Center, LLC | Chiropractor | 2605 Cherokee Ave, Macon, GA 31204-3923 | 2008-12-08 |
| 1598940355 | Dr Jay Cranford Dc LLC | Chiropractor | 3370 Vineville Ave, Suite 103, Macon, GA 31204-2345 | 2007-12-28 |
| 1407988496 | Richard David Oster | Chiropractor | 618 Shurling Dr, Macon, GA 31211-1950 | 2007-03-12 |
| 1780729368 | Daniel Erthal | Chiropractor | 645 1st St Ste F, Macon, GA 31201-0805 | 2007-02-21 |
| 1619017902 | James Benjamin Jorgenson | Chiropractor | 307 Weller St, Macon, MO 63552-1942 | 2007-02-07 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on KEN ZOODSMA & ASSOCIATES.
| 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.