JOHN WAYNE SAMUELSON (NPI# 1275617128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275617128 |
| Entity Type | Individual |
| Full Name | JOHN WAYNE SAMUELSON |
| Credential | DC |
| Practice Address |
13 W 2nd Ave N Aurora MN 55705-1313 |
| Practice Telephone | 2182293638 |
| Practice Fax Number | 2182292661 |
| Mailing Telephone | 2182293638 |
| Mailing Fax Number | 2182292661 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
1626 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CHIROCARE | 230743 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 69716SA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194620 | John Theodore Samuelson | Pharmacist | 118 W. 5th St., Box 399, Starbuck, MN 56381-0399 | 2005-06-17 |
| 1851426456 | John Steven Samuelson | Hearing Instrument Specialist | 836 E 2nd St, Defiance, OH 43512-2326 | 2007-02-22 |
| Street Address |
13 W 2ND AVE N |
| City | AURORA |
| State | MN |
| Zip Code | 55705-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
| 1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
| 1700997327 | Mark W Boback | Dentist | 22 W 3rd Ave N, Aurora, MN 55705 | 2006-08-31 |
| 1346252053 | Claude Erickson | Physician Assistant | 405 West 3rd Ave N, Aurora, MN 55705 | 2006-08-12 |
| 1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
| 1265533400 | Ericka Janette Lamar | Psychologist | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705 | 2006-09-26 |
| 1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
| 1447817978 | Mesabacare LLC | Counselor | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2019-05-21 |
| 1063704930 | Ann Marie Westbrook Vreeland | Nurse Practitioner | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2011-05-10 |
| 1811920564 | Michelle Renee Oman | Family Medicine | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2006-07-08 |
| Find all providers in zip 55705 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861590374 | Christopher Jay Feltes | Chiropractor | 442 N Lake St, Aurora, IL 60506-4106 | 2006-09-20 |
| 1689656316 | Rick A. Gross | Chiropractor | 2460 S Eola Rd, Ste G., Aurora, IL 60503-6494 | 2005-11-17 |
| 1194995845 | Nv Associates | Chiropractor | 4090 S Parker Rd, 105, Aurora, CO 80014-8121 | 2008-03-10 |
| 1578546818 | Jennifer Gross | Chiropractor | 2460 S Eola Rd, Ste. G, Aurora, IL 60503-6494 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558631945 | Roth Chiropractic Clinic Ltd | Chiropractor | 39 E Sheridan St, Ely, MN 55731-1213 | 2012-01-03 |
| 1457683773 | Mark Daniel Nelson | Chiropractor | 21168 Buchanan St Ne, Cedar, MN 55011-4425 | 2010-02-11 |
| 1598921751 | Kaubisch Chiropractic, Inc. | Chiropractor | 207 6th St. So, Walker, MN 56484-0852 | 2008-08-06 |
| 1053500090 | Elite Chiropractic Clinic LLC | Chiropractor | 6001 Egan Dr Ste 110, Savage, MN 55378-4910 | 2007-10-16 |
| 1629271978 | Andrew Garth Altman | Chiropractor | 9100 31st Ave N, New Hope, MN 55427-2319 | 2007-06-06 |
| 1083825715 | Francis John Heller | Chiropractor | 624 W 54th St, Minneapolis, MN 55419-1755 | 2007-05-24 |
| 1083831366 | Duylinh Pham Nguyen | Chiropractor | 7001 78th Ave N Ste 200, Brooklyn Park, MN 55445-2745 | 2007-04-19 |
| 1407079312 | Dr. Kaye B. Otter,p.a. | Chiropractor | 8100 Penn Ave S, Ste 103, Bloomington, MN 55431-1360 | 2007-04-10 |
| 1508909391 | Howard Woolley | Chiropractor | 3930 W 6th St, Winona, MN 55987-1530 | 2007-02-14 |
| 1265572127 | Christopher Louis Singer | Chiropractor | 881 Highway 10 E, Detroit Lakes, MN 56501-4218 | 2007-02-07 |
| 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.