JEREMY GONSOWSKI (NPI# 1952742017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952742017 |
| Entity Type | Individual |
| Full Name | JEREMY GONSOWSKI |
| Credential | DC |
| Practice Address |
1750 Highway 192 W Suite 4 London KY 40741-2639 |
| Mailing Address |
Po Box 593 Berea KY 40403-0593 |
| Practice Telephone | 6068780088 |
| Mailing Telephone | 6068780088 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5397 | KY | Chiropractic Providers |
| Street Address |
1750 HIGHWAY 192 W SUITE 4 |
| City | LONDON |
| State | KY |
| Zip Code | 40741-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659542058 | Ky Dermatology & Skin Cancer | Dermatology | 1750 Highway 192 W, London, KY 40741-2639 | 2008-03-13 |
| 1740652569 | Kyle Daniel Brown | Chiropractor | 1750 Highway 192 W, Suite 4, London, KY 40741-2639 | 2015-10-21 |
| 1760821821 | Chiropractic Health Solutions of London, LLC | Chiropractor | 1750 Highway 192 W, Suite #4, London, KY 40741-2639 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| 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 |
|---|---|---|---|---|
| 1396048328 | Laurel County Chiropractic | Chiropractor | 164 London Shopping Ctr, London, KY 40741-3015 | 2010-12-14 |
| 1235325184 | Miller Chiropractic Office, Inc | Chiropractor | 2619 County Farm Rd, London, KY 40741-8336 | 2007-09-24 |
| 1942325279 | Chad E Morgan | Chiropractor | 321 E 4th St Ste 2, London, KY 40741-2412 | 2007-03-19 |
| 1952432585 | Gary Roy Goldstein | Chiropractor | 61 E High St, London, OH 43140-1247 | 2007-03-07 |
| 1063541944 | Heather M. Dwyer | Chiropractor | 57 W High St, London, OH 43140-1074 | 2007-03-05 |
| 1366591737 | Pinkesh Patel | Chiropractor | 302 Falls St, Suite A, London, KY 40741-2804 | 2007-01-09 |
| 1629134192 | Adam J High | Chiropractor | 302 Falls St Ste A, London, KY 40741-2804 | 2006-12-29 |
| 1982797585 | Anthony A Decarlo | Chiropractor | 164 London Shopping Center, London, KY 40741 | 2006-10-02 |
| 1740652569 | Kyle Daniel Brown | Chiropractor | 1750 Highway 192 W, Suite 4, London, KY 40741-2639 | 2015-10-21 |
| 1760821821 | Chiropractic Health Solutions of London, LLC | Chiropractor | 1750 Highway 192 W, Suite #4, London, KY 40741-2639 | 2013-06-21 |
| Find all providers in LONDON | ||||
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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.