DR. ETHAN DANIEL FELDMAN (NPI# 1215057872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215057872 |
| Entity Type | Individual |
| Full Name | DR. ETHAN DANIEL FELDMAN |
| Credential | D.C. |
| Practice Address |
2500 Martin Luther King Jr Way Berkeley CA 94704-2613 |
| Practice Telephone | 5108432584 |
| Practice Fax Number | 5108432591 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 18790 | CA | Chiropractic Providers |
| Street Address |
2500 MARTIN LUTHER KING JR WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629473426 | Patricia Jill Cohn | Chiropractor | 2500 Martin Luther King Jr Way, Berkeley, CA 94704-2613 | 2014-10-23 |
| 1609012475 | Robert Arlen Davison | Chiropractor | 2500 Martin Luther King Jr Way, Berkeley, CA 94704-2613 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| 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 |
|---|---|---|---|---|
| 1336622745 | Mykyta Predtechenskyi | Chiropractor | 1530a 5th St, Berkeley, CA 94710-1713 | 2018-09-11 |
| 1033640412 | Benjamin Benulis | Chiropractor | 1535 Derby St, Berkeley, CA 94703-1816 | 2017-03-27 |
| 1508305798 | Schneider & Vargas Chiropractic Inc. | Chiropractor | 3286 Adeline Street, Berkeley, CA 94703-2408 | 2017-02-21 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1053659136 | Regalado Pagtakhan Reyes | Chiropractor | 2850 Seventh St Ste 100, Berkeley, CA 94710-2703 | 2013-01-23 |
| 1720385230 | Kerry A Moses | Chiropractor | 2924 Sacramento St, Berkeley, CA 94702-2565 | 2011-02-17 |
| 1366755852 | Elaine Hutsinpiller | Chiropractor | 2577 San Pablo Ave Apt 104, Berkeley, CA 94702-2004 | 2010-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1891950069 | Laurie Elizabeth Wonnell | Chiropractor | 2117 Spaulding Ave., Berkeley, CA 94703 | 2008-07-27 |
| 1346405222 | Deborah Claire | Chiropractor | 2101 Woolsey St, Suite A, Berkeley, CA 94705-1830 | 2008-07-21 |
| Find all providers in BERKELEY | ||||
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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.