NELSON CHIROPRACTIC & REHABILITATION LLC (NPI# 1003110818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003110818 |
| Entity Type | Organization |
| Organization Name | NELSON CHIROPRACTIC & REHABILITATION LLC |
| Practice Address |
905 W Ventura Ave Clewiston FL 33440-3411 |
| Practice Telephone | 8639838391 |
| Practice Fax Number | 8639832283 |
| Mailing Telephone | 8639838291 |
| Mailing Fax Number | 8639832283 |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | RYAN NELSON (PRESIDENT) |
| Authorized Official Telephone | 8639838391 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | CH9995 | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002282701 | 05 |
| Street Address |
905 W VENTURA AVE |
| City | CLEWISTON |
| State | FL |
| Zip Code | 33440-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568486777 | Edward Dee Vickers Sr. | Chiropractor | 905 W Ventura Ave, Clewiston, FL 33440-3411 | 2006-07-27 |
| 1902124688 | Ryan Turner Nelson | Chiropractor | 905 W Ventura Ave, Clewiston, FL 33440-3411 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072132 | Seminole Pharmacy | Pharmacy | 31055 Josie Billie Highway, Clewiston, FL 33440 | 2017-06-06 |
| 1740551530 | Seminole Tribe of Florida | Clinic/Center | 30851 Buffalo Jim Loop Road, Clewiston, FL 33440 | 2012-01-25 |
| 1184850901 | Elizabeth Boykin | Nurse Practitioner | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2009-06-08 |
| 1861683237 | Antoinette Marie Pavey-mcdaniel | Nurse Practitioner | 203 S Gloria St, Hendry Regional Corp Health, Clewiston, FL 33440 | 2007-08-09 |
| 1225229909 | Kurt Gabriel Hausy | Dentist | 316 E. Trinidad Ave., Clewiston, FL 33440 | 2007-08-07 |
| 1265565527 | Joanne Louise Vorhees | Nurse Practitioner | 1100 South Olympia St, Hendry County Health Department, Clewiston, FL 33440 | 2007-03-14 |
| 1831222850 | Richard J Anton | Optometrist | 1005 W. Sugarland Hwy, Walmart Nat Vision Cen, Clewiston, FL 33440 | 2007-03-13 |
| 1932278017 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 28280 E Tu Makee Way, Clewiston, FL 33440 | 2006-11-06 |
| 1720342173 | Vandhana Bhagwan Kiswani-barley | Family Medicine | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2012-06-29 |
| 1275782492 | Juan and John Drugs | Pharmacy | 340 E Sugarland Hwy, Suite B, Clewiston, FL 33440 | 2008-09-11 |
| Find all providers in zip 33440 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982124020 | Unique Exceptional Services LLC | Preferred Provider Organization | 431 W Obispo Ave, Clewiston, FL 33440-4419 | 2017-06-20 |
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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.