DR. JEREMY LYN GOODRUM (NPI# 1912187006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912187006 |
| Entity Type | Individual |
| Full Name | DR. JEREMY LYN GOODRUM |
| Credential | D.C. |
| Practice Address |
306 W 8th St Wellington KS 67152-3923 |
| Practice Telephone | 6203263611 |
| Practice Fax Number | 6203266939 |
| Mailing Telephone | 6203263611 |
| Mailing Fax Number | 6203266939 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2016-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01-05164 | KS | Chiropractic Providers |
| N | 111N00000X | Chiropractor | T-01655 | KS | Chiropractic Providers |
| Street Address |
306 W 8TH ST |
| City | WELLINGTON |
| State | KS |
| Zip Code | 67152-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720170699 | Larry J Pacey | Chiropractor | 306 W 8th St, Wellington, KS 67152-3923 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373556 | Khan Noohani Md Pa | Psychiatric Unit | 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 | 2014-03-13 |
| 1114266293 | Symmetris, P.a. | Dentist | 122 E. Lincoln, Wellington, KS 67152 | 2013-02-08 |
| 1851485502 | Wellington Family Dentistry | Dentist | 119 East Lincoln, Wellington, KS 67152 | 2006-10-03 |
| 1073553871 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1111 W 8th St, Wellington, KS 67152 | 2006-06-08 |
| 1629071816 | City of Wellington | Emergency Medical Technician, Basic | 200 North C Street, Suite 200, Wellington, KS 67152 | 2005-05-23 |
| 1356861355 | E.b. Enterprises LLC | Assisted Living Facility | 401 N Woodlawn St, Wellington, KS 67152 | 2017-06-21 |
| 1184753113 | Angela L Baker | Social Worker | 1601 W 16th St, Wellington, KS 67152 | 2007-03-05 |
| 1275619504 | Sumner Mental Health Center | Counselor | 1601 West 16th Street, Wellington, KS 67152 | 2006-10-30 |
| 1629352877 | Cherished Friends LLC | Assisted Living Facility | 924 S Washington Ave, Wellington, KS 67152-2201 | 2011-10-06 |
| 1427009612 | Ggnsc Wellington LLC | Skilled Nursing Facility | 102 W Botkin St, Wellington, KS 67152-2302 | 2006-05-13 |
| Find all providers in zip 67152 | ||||
| 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 |
|---|---|---|---|---|
| 1760030332 | Tatiana Habanova | Chiropractor | 11420 Fortune Cir Ste 7, Wellington, FL 33414-8743 | 2019-08-27 |
| 1649781154 | Noam Teplitsky | Chiropractor | 15930 Voyageurs Pl, Wellington, FL 33414-1057 | 2017-10-24 |
| 1992156509 | Apex Family Chiropractic | Chiropractor | 1032 Goldenrod Rd, Wellington, FL 33414-8530 | 2016-06-24 |
| 1245686708 | Shelley Anderson | Chiropractor | 13861 Folkestone Cir Apt D, Wellington, FL 33414-7829 | 2016-05-13 |
| 1124442702 | Tristan Miceli | Chiropractor | 129 S State Road 7 Ste 402, Wellington, FL 33414-4379 | 2014-02-18 |
| 1659611465 | Arianne Weiss | Chiropractor | 11924 Forest Hill Blvd, Suite # 13, Wellington, FL 33414-6256 | 2013-02-15 |
| 1225381379 | Mancini Chiropractic | Chiropractor | 15741 Cedar Grove Ln, Wellington, FL 33414-6312 | 2012-10-25 |
| 1235415340 | Marc Jay Kerschner | Chiropractor | 1803 Barnstable Rd, Wellington, FL 33414-6146 | 2011-11-02 |
| 1699057083 | Wellington Chiropractic Center of Pbc | Chiropractor | 12797 Forest Hill Blvd Ste B, Wellington, FL 33414-4763 | 2011-09-13 |
| 1487987699 | Chiornow Inc. | Chiropractor | 13889 Wellington Trce Ste A3, Wellington, FL 33414-8587 | 2009-09-08 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 67152 |
Please comment or provide details below to improve the information on DR. JEREMY LYN GOODRUM.
| 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.