DR. MICHAEL GORDON JORGENSEN (NPI# 1306803267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306803267 |
Entity Type | Individual |
Full Name | DR. MICHAEL GORDON JORGENSEN |
Credential | DC |
Practice Address |
1110 Buckeye Avenue Ames IA 50010-8063 |
Practice Telephone | 5152339087 |
Practice Fax Number | 5152336409 |
Mailing Telephone | 5152339087 |
Mailing Fax Number | 5152336409 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2008-04-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 06757 | IA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0451658 | 05 | |
IA | IOWA MEDICARE, GROUP | I14239 | 01 |
IA | 0451641 | 05 | |
IA | WELLMARK PROVIDER # | 37766 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558675157 | Michael Wade Jorgensen | Optometrist | 187 Burt Blvd, Ste A, Benton, LA 71006-4905 | 2010-08-06 |
1881802742 | Michael Jorgensen | Chiropractor | 3411 Fiechtner Dr S, Fargo, ND 58103-2361 | 2007-05-21 |
1760911168 | Michael Jorgensen | Family Medicine | 200 Hawkins Dr, Department of Family Medicine, Iowa City, IA 52242-1009 | 2017-06-08 |
1831390145 | Michael Jorgensen | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-7792 | 2007-05-31 |
1235200288 | Michael B. Jorgensen | Internal Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
1457302101 | Michael B Jorgensen | Physician Assistant | 450 Broadway St, Pavilion A, 2nd Floor, Redwood City, CA 94063-3132 | 2006-05-15 |
Street Address |
1110 BUCKEYE AVENUE |
City | AMES |
State | IA |
Zip Code | 50010-8063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
Find all providers in zip 50010 |
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 |
---|---|---|---|---|
1043857915 | Changwon Lee | Chiropractor | 1606 Golden Aspen Dr Ste 101, Ames, IA 50010-8011 | 2019-12-10 |
1518521814 | Rise Chiropractic LLC | Chiropractor | 703 S Duff Ave Ste 108b, Ames, IA 50010-6818 | 2019-04-23 |
1710495049 | Ames Chiropractic & Wellness Center, Pllc | Chiropractor | 819 Lincoln Way Ste B, Ames, IA 50010-6947 | 2018-01-22 |
1295248177 | Marian Nicole Nappi | Chiropractor | 3600 University Blvd, Ames, IA 50010-8673 | 2017-11-14 |
1174046288 | Joseph R. Heston | Chiropractor | 214 Main St Ste 101, Ames, IA 50010-6285 | 2017-07-20 |
1114467313 | Iowa Family Chiropractic Ames, P.C. | Chiropractor | 2714 Aspen Rd, Ames, IA 50010-4484 | 2017-03-07 |
1902262470 | Trevor Peters | Chiropractor | 2316 230th St Ste 102, Ames, IA 50014-6329 | 2016-01-13 |
1497185847 | Brady James Rebarcak | Chiropractor | 205 Clark Ave Ste 4, Ames, IA 50010-3311 | 2013-11-22 |
1578866224 | Five Oaks Chiropractic LLC | Chiropractor | 3515 Lincoln Way Ste 103, Ames, IA 50014-8428 | 2010-12-17 |
1962735787 | Christopher A Feil | Chiropractor | 2603 Northridge Pkwy Ste 102, Ames, IA 50010-4046 | 2009-09-11 |
Find all providers in AMES |
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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.