DR. MICHAEL THOMAS DOUGLASS-WHITE (NPI# 1255861985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255861985 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THOMAS DOUGLASS-WHITE |
| Credential | D.C. |
| Practice Address |
108 Creek Ln S Jordan MN 55352-1202 |
| Practice Telephone | (952) 492-6363 |
| Practice Fax Number | 9524925129 |
| Mailing Telephone | 9524926363 |
| Mailing Fax Number | 9524925129 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6372 | MN | Chiropractic Providers |
| Street Address |
108 CREEK LN S |
| City | JORDAN |
| State | MN |
| Zip Code | 55352-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134189202 | Charles R Cook | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2006-03-24 |
| 1154689834 | Lydia Schmidt | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2012-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508221425 | Patrick Hardy | Physical Therapy Assistant | 206 9th St, Jordan, MN 55352-1006 | 2015-12-18 |
| 1427113307 | Margaret M Knutson | Specialist/Technologist | 608 Hooper Ct, Jordan, MN 55352-1070 | 2006-12-22 |
| 1114266673 | Jenny Flynn | Physical Therapy Assistant | 610 Lodge Dr, Jordan, MN 55352-1098 | 2013-02-04 |
| 1245573286 | First Choice Pharmacy of Jordan PC | Pharmacy | 255 Creek Ln S, Jordan, MN 55352-1214 | 2013-03-28 |
| 1972857597 | St Francis Regional Medical Center | Clinic/Center | 265 Creek Ln S, Jordan, MN 55352-1214 | 2012-11-05 |
| 1043764764 | Amanda Ungs | Counselor | 105 2nd St W, Jordan, MN 55352-1409 | 2016-08-10 |
| 1417001702 | Chiropractic Specialists, Inc. | Chiropractor | 212 2nd St E, Suite 100, Jordan, MN 55352-1449 | 2007-01-23 |
| 1033529664 | Mary Bauer | Psychoanalyst | 110 1st St E Ste 102, Jordan, MN 55352-1502 | 2014-05-05 |
| 1073821716 | Molly Jean Kellor | Social Worker | 201 1st St E, Jordan, MN 55352-1503 | 2010-09-15 |
| 1013196476 | Jeff C May | Chiropractor | 221 1st St E, Jordan, MN 55352-1503 | 2007-11-01 |
| Find all providers in zip 55352 | ||||
| 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 |
|---|---|---|---|---|
| 1831430297 | Hollie Penney | Chiropractor | 401 Broadway St S, Jordan, MN 55352-1701 | 2013-03-11 |
| 1013196476 | Jeff C May | Chiropractor | 221 1st St E, Jordan, MN 55352-1503 | 2007-11-01 |
| 1417001702 | Chiropractic Specialists, Inc. | Chiropractor | 212 2nd St E, Suite 100, Jordan, MN 55352-1449 | 2007-01-23 |
| 1679995427 | Penney Family Chiropractic, LLC | Chiropractor | 401 Broadway St S, Jordan, MN 55352-1701 | 2014-01-14 |
| 1821331117 | Scott Charles Penney | Chiropractor | 401 Broadway St S, Jordan, MN 55352-1701 | 2013-04-04 |
| 1154689834 | Lydia Schmidt | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2012-05-01 |
| 1659551869 | Total Health Advantage | Chiropractor | 221 1st St E, Jordan, MN 55352-1503 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.