WILSON CHIROPRACTIC CLINIC (NPI# 1275692386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275692386 |
| Entity Type | Organization |
| Organization Name | WILSON CHIROPRACTIC CLINIC |
| Other Organization Name | BRAMBLETON COMMONS CHIROPRACTIC |
| Practice Address |
3390 Colonial Ave Roanoke VA 24018 |
| Mailing Address |
Po Box 20382 Roanoke VA 24018-0039 |
| Practice Telephone | 5407760101 |
| Practice Fax Number | 5407767873 |
| Mailing Telephone | 5407760101 |
| Mailing Fax Number | 5407767873 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | DR. HOWARD KENDALL WILSON (PRESIDENT) |
| Authorized Official Telephone | 5407760101 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | DR HOWARD K WILSON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001092 | VA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Brambleton Commons Chiropractic | Doing Business As Name - Organization |
| Wilson Chiropractic Clinic | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4521 Brambleton Avenue, Suite 206, Roanoke, VA 240183436 | 5407760101 | 5407767873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689898488 | Wilson Chiropractic Clinic | Chiropractor | 2005 E Grand Ave, Marshall, TX 75672 | 2007-04-12 |
| 1568674448 | Wilson Chiropractic Clinic | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2007-05-04 |
| Street Address |
3390 COLONIAL AVE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407829542 | Christina E Stephenson | Nurse Practitioner | 3390 Colonial Ave, Roanoke Family Medicine Inc, Roanoke, VA 24018 | 2006-02-09 |
| 1205347770 | W. Hampton Pasley, M.d., Plc | Clinic/Center | 3390 Colonial Ave, Roanoke, VA 24018-3740 | 2017-10-23 |
| 1417229816 | Dennis Gregory Duncan | Physician Assistant | 3390 Colonial Ave, Roanoke, VA 24018-3740 | 2012-01-31 |
| 1740416239 | William Hampton Pasley | Surgery | 3390 Colonial Ave, Roanoke, VA 24018-3740 | 2009-06-10 |
| 1548275357 | Sherrie M Gregory | Nurse Practitioner | 3390 Colonial Ave, #2, Roanoke, VA 24018-3740 | 2006-07-30 |
| 1316911753 | Howard Kendall Wilson | Chiropractor | 3390 Colonial Ave, Roanoke, VA 24018 | 2006-02-14 |
| 1255303087 | Ella D Youngblood | Family Medicine | 3390 Colonial Ave, Roanoke Family Medicine Inc, Roanoke, VA 24018 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| 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 |
|---|---|---|---|---|
| 1437718285 | Meng Sun | Chiropractor | 500 N Highway 377 Ste H, Roanoke, TX 76262-6174 | 2019-06-06 |
| 1194157099 | Jenna Denise Beck | Chiropractor | 100 Country View Dr Ste 300, Roanoke, TX 76262-2054 | 2013-08-01 |
| 1710239298 | Barry Eugene Simpson | Chiropractor | 500 N Highway 377, Suite E., Roanoke, TX 76262-7100 | 2012-10-09 |
| 1972862761 | Connections Achievement and Therapy Center, Corp. | Chiropractor | 5430 Peters Creek Rd, Suite 108, Roanoke, VA 24019-3892 | 2012-05-14 |
| 1376815597 | Collective Chiropractic and Rehab Inc | Chiropractor | 509 E Byron Nelson Blvd Ste A, Roanoke, TX 76262-6183 | 2012-02-03 |
| 1720362809 | Timothy R Willson | Chiropractor | 4118c Franklin Rd Sw, Roanoke, VA 24014-5266 | 2011-10-06 |
| 1740575711 | Core Chiropractic and Wellness Center, Inc. | Chiropractor | 16 W Church Ave, Roanoke, VA 24011-2002 | 2011-06-17 |
| 1982936894 | Mark Mandell | Chiropractor | 6200 Sandhurst Dr, Roanoke, VA 24018-7701 | 2010-02-02 |
| 1770745143 | Craig Camidge | Chiropractor | 3538 Electric Rd, Roanoke, VA 24018-4453 | 2008-06-27 |
| 1982865747 | Sean Patrick Skinner | Chiropractor | 6206 Peters Creek Rd, Roanoke, VA 24019-4026 | 2008-06-24 |
| Find all providers in ROANOKE | ||||
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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.