Cody Derek Needham (NPI# 1538667746, PAC ID# 4284994443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1538667746 |
PAC ID by PECOS | 4284994443 |
Professional Enrollment ID | I20180207002259 |
Full Name | Cody Derek Needham |
Address |
205 N Grand Ave W Springfield IL 62702-2550 |
Phone Number | 2175252035 |
Gender | M |
Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
Graduation Year | 2017 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
205 N Grand Ave W, Springfield, IL 62702-2550 | 2175252035 |
Street Address |
205 N GRAND AVE W |
City | SPRINGFIELD |
State | IL |
Zip | 62702-2550 |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven M Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
Kyle James Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas P Speck | Chiropractic | 405 E Sangamon Ave, Springfield, IL 62702-1762 | |
Ryan T Durocher | Chiropractic | 1244 E Sangamon Ave, Springfield, IL 62702-1854 | |
Dana K Oliver | Chiropractic | Lincoln Chiropractic Clinic PC | 1244 E Sangamon Ave, Springfield, IL 62702-1854 |
Casey Steven Sitko | Chiropractic | 205 N Grand W Ave, Springfield, IL 62702-2550 | |
John L Miller | Chiropractic | The Wellness Center S.c. | 203 N Grand Ave W, Springfield, IL 62702-2550 |
Scott P Blomberg | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
Andrew T Clark | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
David C Holland | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
Michael J Bruce | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
Dale J Swetlishnoff | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
Find all physicians in zip 62702 |
City | SPRINGFIELD |
Zip Code | 62702 |
Specialty | CHIROPRACTIC |
City + Specialty | SPRINGFIELD + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.