DR E.L. STROTHEIDE LTD (NPI# 1164523338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164523338 |
Entity Type | Organization |
Organization Name | DR E.L. STROTHEIDE LTD |
Practice Address |
3412 Nameoki Road Granite City IL 62040 |
Practice Telephone | 6188767800 |
Practice Fax Number | 6188767850 |
Mailing Telephone | 6188767800 |
Mailing Fax Number | 6188767850 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-11-01 |
Authorized Official Name | DR. JASON L STROTHEIDE (PRESIDENT) |
Authorized Official Telephone | 6188767800 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 006145 | MO | Chiropractic Providers |
Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS OF IL | 06023887 | 01 |
Street Address |
3412 NAMEOKI ROAD |
City | GRANITE CITY |
State | IL |
Zip Code | 62040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
Find all providers in zip 62040 |
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 |
---|---|---|---|---|
1891268272 | Ana Maria Murillo | Chiropractor | 2013 Johnson Rd Ste D, Granite City, IL 62040-3980 | 2019-01-08 |
1144741703 | Michael E Abbett | Chiropractor | 132 Douglas Pl, Granite City, IL 62040-2715 | 2017-07-04 |
1336416957 | Ashley Lauren Eavenson | Chiropractor | 10 Cobblestone Ct, Granite City, IL 62040-5183 | 2011-11-28 |
1407187875 | Dustin Clark Rosenburg | Chiropractor | 4917 Maryville Rd, Granite City, IL 62040-2644 | 2010-01-24 |
1497980494 | Phillips Chiropractic LLC | Chiropractor | 2339 Pontoon Rd, Granite City, IL 62040-4022 | 2009-05-19 |
1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
1194995191 | Christopher Andrew Gaddie II | Chiropractor | 2861 Madison Ave, Granite City, IL 62040-3614 | 2008-03-05 |
1558493676 | Jason Louis Strotheide | Chiropractor | 3412 Nameoki Rd, Granite City, IL 62040-3702 | 2007-03-12 |
1730240201 | Richard Craig Reinhardt | Chiropractor | 142 Arlington Dr, Granite City, IL 62040-6529 | 2006-12-12 |
1285733360 | Charles E King Jr. | Chiropractor | 1525 Johnson Rd, Granite City, IL 62040-3831 | 2006-09-22 |
Find all providers in GRANITE CITY |
City | GRANITE CITY |
Zip Code | 62040 |
Please comment or provide details below to improve the information on DR E.L. STROTHEIDE LTD.
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.