SOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC (NPI# 1013098854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013098854 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC |
| Practice Address |
202 W Jackson St Suite A Sparta IL 62286-1676 |
| Practice Telephone | 6184432026 |
| Mailing Telephone | 6184432026 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | DR. RYAN ROBERT REISS (CHIROPRACTOR) |
| Authorized Official Telephone | 6184432026 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-010604 | IL | Chiropractic Providers |
| Street Address |
202 W JACKSON ST SUITE A |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144324377 | Ryan Robert Reiss | Chiropractor | 202 W Jackson St, Suite A, Sparta, IL 62286-1676 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| 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 |
|---|---|---|---|---|
| 1942709787 | Bernadette Ann Vallorosi | Chiropractor | 53 Sparta Ave, Sparta, NJ 07871-1814 | 2018-02-07 |
| 1558872366 | John Richard Kopp | Chiropractor | 415 W Wisconsin St Ste 4, Sparta, WI 54656-2493 | 2017-10-19 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1407224389 | Chiropractic Health Clinic of Sparta, LLC | Chiropractor | 33 Woodport Rd, Sparta, NJ 07871-2431 | 2015-09-09 |
| 1104161744 | Heath Gilman Foster | Chiropractor | 9 Cook St, Sparta, TN 38583-1570 | 2012-12-09 |
| 1346534039 | Lynnmarie Skipper Leyder | Chiropractor | 542 S State St, Sparta, MI 49345-1547 | 2011-05-31 |
| 1811223050 | Freeland Chiropractic Center P.C. | Chiropractor | 200 East Division Street, Sparta, MI 49345 | 2009-10-22 |
| 1851521421 | Daniel William Scarffe | Chiropractor | 450 S State St, Suite 1, Sparta, MI 49345-1582 | 2009-07-17 |
| 1710176672 | Pine Cone Chiropractic | Chiropractor | 10 Pine Cone Lane, Sparta, NJ 07871-2302 | 2007-10-17 |
| 1831318641 | Robert Duane Klingensmith | Chiropractor | 771 S Main St, Sparta, NC 28675 | 2007-04-24 |
| Find all providers in SPARTA | ||||
Please comment or provide details below to improve the information on SOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC.
| 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.