COOPER FAMILY CHIROPRACTIC (NPI# 1144486705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144486705 |
Entity Type | Organization |
Organization Name | COOPER FAMILY CHIROPRACTIC |
Practice Address |
9103 Phoenix Village Pkwy Suite F O Fallon MO 63368-4279 |
Practice Telephone | 6362652566 |
Practice Fax Number | 8664184148 |
Mailing Telephone | 6362652566 |
Mailing Fax Number | 8664184148 |
Enumeration Date | 2008-08-04 |
Last Update Date | 2014-11-11 |
Authorized Official Name | DR. MARCY LYNN COOPER (OWNER) |
Authorized Official Telephone | 6363799105 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2000144756 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | AETNA | 7997538 | 01 |
MO | ANTHEM BLUE CROSS BLUE SHIELD | 139154 | 01 |
MO | HEALTHLINK | 432179 | 01 |
MO | GHP/CMR | 38309 | 01 |
Street Address |
9103 PHOENIX VILLAGE PKWY SUITE F |
City | O FALLON |
State | MO |
Zip Code | 63368-4279 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215319637 | Christine C Wilson | Massage Therapist | 9103 Phoenix Village Pkwy, Heart Centered Massage, O Fallon, MO 63368-4279 | 2015-06-22 |
1871726091 | Courtney Kay Lehmen | Chiropractor | 9103 Phoenix Village Pkwy, O Fallon, MO 63368-4279 | 2009-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
Find all providers in zip 63368 |
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 |
---|---|---|---|---|
1003473950 | Daniel Thomas Spitler II | Chiropractor | 1246 Bryan Rd, O Fallon, MO 63366-3771 | 2019-05-28 |
1992203491 | Brandon Michael Daniels | Chiropractor | 734 Cambridge Blvd # 100, O Fallon, IL 62269-1964 | 2018-01-30 |
1144738022 | Margaret Stupakewicz | Chiropractor | 199 Frontier Park Dr, O Fallon, MO 63366-3963 | 2018-01-13 |
1003326075 | Keim Family Chiropractic LLC | Chiropractor | 804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 | 2017-10-04 |
1073033452 | Bone & Joint Chiropractic Center LLC | Chiropractor | 2917 Highway K Ste F, O Fallon, MO 63368-7879 | 2017-06-26 |
1356894273 | Bradley Agan | Chiropractor | 1297 Bryan Rd, O Fallon, MO 63366-3729 | 2016-07-27 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
1164801353 | John Mischel | Chiropractor | 1411 W Highway 50 Ste 103, O Fallon, IL 62269-1683 | 2015-05-21 |
1982012555 | Laura Mcateer Dc LLC | Chiropractor | 7287 Watsons Parish Dr, O Fallon, MO 63368-8151 | 2014-07-28 |
1518384163 | Edmistone Acupuncture & Chiropractic | Chiropractor | 1317 W Highway 50, O Fallon, IL 62269-1616 | 2014-03-20 |
Find all providers in O FALLON |
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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.