ADVANCED SPINE AND REHAB PC (NPI# 1922020858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922020858 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND REHAB PC |
| Practice Address |
4121 E Valley Auto Dr # 110 Mesa AZ 85206-4631 |
| Practice Telephone | 4808921122 |
| Practice Fax Number | 4808922243 |
| Mailing Telephone | 4808921122 |
| Mailing Fax Number | 4808922243 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2012-09-24 |
| Authorized Official Name | DR. MICHAEL DAVID CRISMON (PARTNER) |
| Authorized Official Telephone | 4808921122 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 5447 | AZ | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 5639 | AZ | Chiropractic Providers |
| Street Address |
4121 E VALLEY AUTO DR # 110 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275591109 | Michael D Crismon | Chiropractor | 4121 E Valley Auto Dr, 110, Mesa, AZ 85206-4631 | 2006-05-02 |
| 1457999369 | Hopebridge LLC | Behavioral Analyst | 4121 E Valley Auto Dr, Mesa, AZ 85206-4631 | 2019-12-11 |
| 1114389459 | Ellsworth Foot and Ankle Pllc | Podiatrist | 4121 E Valley Auto Dr, #110, Mesa, AZ 85206-4631 | 2016-03-25 |
| 1801205331 | Advanced Family Healthcare Pllc | Family Medicine | 4121 E Valley Auto Dr, Suite # 110, Mesa, AZ 85206-4631 | 2014-08-08 |
| 1063751196 | Lisa J Daughters | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2013-02-08 |
| 1528355708 | David T Ellsworth | Podiatrist | 4121 E Valley Auto Dr, Ste 110, Mesa, AZ 85206-4632 | 2011-07-07 |
| 1467639302 | Circle of Life Counseling, Pllc | Social Worker | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2008-01-23 |
| 1184845380 | Cathyann M Hersom | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2007-05-02 |
| 1912943903 | Northlight Counseling Associates Inc | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2006-06-20 |
| 1831134550 | Blue Streak Investments LLC | Chiropractor | 4121 E Valley Auto Dr, Suite 110, Mesa, AZ 85206-4631 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1396359626 | Adapt Chiropractic Pllc | Chiropractor | 1728 S Greenfield Rd Ste 109, Mesa, AZ 85206-3484 | 2020-09-03 |
| 1699391052 | Emily Weber | Chiropractor | 3426 E Baseline Rd, Mesa, AZ 85204-7291 | 2020-06-22 |
| 1285280099 | Mesa Chiropractic Pllc | Chiropractor | 6731 E Brown Rd Ste 101, Mesa, AZ 85205-4964 | 2019-08-16 |
| 1801352406 | Kwd Enterprises, LLC | Chiropractor | 1107 S Gilbert Rd Ste 111, Mesa, AZ 85204-5233 | 2019-02-19 |
| 1124524111 | Bryce Garst | Chiropractor | 6836 E Brown Rd Ste 102, Mesa, AZ 85207-3756 | 2018-03-30 |
| 1508369174 | Colby Ivan Davis | Chiropractor | 4904 S Power Rd Ste 105, Mesa, AZ 85212-3610 | 2018-03-09 |
| 1366953200 | Yunjae Park | Chiropractor | 1116 S Dobson Rd Ste 126, Mesa, AZ 85202-3920 | 2017-10-18 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1285179457 | Tecla Fuller | Chiropractor | 1728 S Greenfield Rd, Suite 109, Mesa, AZ 85206-3485 | 2016-12-27 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| Find all providers in MESA | ||||
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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.