DR. J A PECSOK (NPI# 1104968759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104968759 |
Entity Type | Individual |
Full Name | DR. J A PECSOK |
Credential | DC |
Practice Address |
26493 Hoover Warren MI 48090-1228 |
Mailing Address |
26493 Hoover Po Box 1228 Warren MI 48090-1228 |
Practice Telephone | 5867576200 |
Practice Fax Number | 5867578605 |
Mailing Telephone | 5867576200 |
Mailing Fax Number | 5867578605 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2013-04-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | JP002473 | MI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS MI | 950E05148 | 01 |
MI | BLUE CROSS | 0E03864 | 01 |
Street Address |
26493 HOOVER |
City | WARREN |
State | MI |
Zip Code | 48090-1228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720177876 | Richard Walter Schuster | Dentist | 27150 Ryan Road, Warren, MI 48090-0671 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
1285235408 | Kearisten Gaines | Psychologist | 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 | 2020-11-04 |
1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
1801496559 | Kynlee Madison West | Occupational Therapy Assistant | 101 N Munn St, Warren, AR 71671-2951 | 2020-10-30 |
1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
1043819592 | Twila Jo Verbosky | Homemaker | 736 Meadowbrook Ave Se, Warren, OH 44484-4554 | 2020-10-25 |
1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
1629676242 | Bernita Faye Diggs | Home Health | 1797 Brier St Se, Warren, OH 44484-5312 | 2020-10-15 |
Find all providers in WARREN |
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 |
---|---|---|---|---|
1932714805 | Edward Vinnikov | Chiropractor | 6 Crosswood Way, Warren, NJ 07059-6785 | 2020-09-09 |
1780224584 | Kelly Jo Yergan | Chiropractor | 8872 E Market St, Warren, OH 44484-2350 | 2020-01-09 |
1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
1114474715 | Van Dyke Spine Center | Chiropractor | 27423 Van Dyke Avenue, Warren, MI 48093 | 2016-09-01 |
1144673278 | Core Chiropractic Center, LLC | Chiropractor | 8098 E Market St Ste 2, Warren, OH 44484-2270 | 2016-07-13 |
1073977575 | Elijah M. Frederick Redman | Chiropractor | 31444 Bretz Dr, Warren, MI 48093-1639 | 2016-04-11 |
1518331826 | Zachary John Smith | Chiropractor | 327 Pennsylvania Ave W, Warren, PA 16365-2427 | 2015-11-24 |
1073983508 | Robert J Gatto Jr Chiropractor PC | Chiropractor | 100 Crescent Park, Warren, PA 16365-2258 | 2015-09-27 |
1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
Find all providers in WARREN |
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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.