TRI-CITY CHIROPRACTIC CENTER (NPI# 1053525212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053525212 |
| Entity Type | Organization |
| Organization Name | TRI-CITY CHIROPRACTIC CENTER |
| Other Organization Name | JOHN MICHAEL KELLY |
| Practice Address |
4266 State St Saginaw MI 48603-4028 |
| Practice Telephone | 9897926702 |
| Mailing Telephone | 9897926702 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-07-14 |
| Authorized Official Name | JOHN MICHAEL KELLY (CHIROPRACTOR) |
| Authorized Official Telephone | 9897926702 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | JK004908 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCN | 0G31076 | 01 |
| MI | 1535385 | 05 | |
| MI | RR MEDICARE | 350005936 | 01 |
| MI | HEALTH PLUS | 0993966 | 01 |
| Other Name | Type Code |
|---|---|
| John Michael Kelly | Doing Business As Name - Organization |
| Street Address |
4266 STATE ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896444 | John Michael Kelly | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2005-07-26 |
| 1023654704 | Emily Michelle Trybus | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2019-11-18 |
| 1528523677 | Jaclyn Jeane Goslin | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2019-02-04 |
| 1033648944 | Jonathon Edward Arnold | Chiropractor | 4266 State St, Saginaw, MI 48603 | 2017-06-06 |
| 1780033506 | Alexander Dalton | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2016-06-13 |
| 1790174456 | Matthew Joel Peacock | Chiropractor | 4266 State St, Saginaw, MI 48603-4035 | 2015-01-20 |
| 1982909818 | Tri-city Chiropractic, Pllc | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2011-01-25 |
| 1649282633 | Danny Ray Taylor | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2006-08-12 |
| 1932159928 | Jeffrey Alan Kelly | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| 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 |
|---|---|---|---|---|
| 1154985950 | Jeremy Douglas Bigelow | Chiropractor | 3350 Shattuck Rd Ste 2, Saginaw, MI 48603-3287 | 2019-04-26 |
| 1801399308 | Ryan Patrick Maloney | Chiropractor | 4805 Towne Centre Rd Ste 101, Saginaw, MI 48604-2831 | 2018-03-12 |
| 1417471392 | James Jordan Dwan | Chiropractor | 4882 Gratiot Rd Ste 13, Saginaw, MI 48638-6269 | 2017-08-01 |
| 1336504000 | Kehres Health and Chiropractic | Chiropractor | 4805 Towne Centre Rd, Suite 101, Saginaw, MI 48604-2831 | 2015-12-23 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1992097539 | Massa Chiropractic Offices P.c | Chiropractor | 3154 Davenport, Saginaw, MI 48602 | 2011-05-13 |
| 1477865830 | Kehres Health and Chiropractic | Chiropractor | 4882 Gratiot Rd, Suite # 13, Saginaw, MI 48638-6269 | 2010-07-13 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| 1942522933 | Daniel Brandon Kehres | Chiropractor | 3499 Linger Ln, Saginaw, MI 48601-5622 | 2010-02-18 |
| Find all providers in SAGINAW | ||||
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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.