DR. MARK SPINA (NPI# 1326184136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326184136 |
| Entity Type | Individual |
| Full Name | DR. MARK SPINA |
| Credential | D.C. |
| Practice Address |
21 Mill St Liberty NY 12754-2010 |
| Practice Telephone | 8452928810 |
| Practice Fax Number | 8452959156 |
| Mailing Telephone | 8452928810 |
| Mailing Fax Number | 8452959156 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X3711 | NY | Chiropractic Providers |
| Street Address |
21 MILL ST |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787003 | Catskill Chiropractic Diagnostics, P.C. | Chiropractor | 21 Mill St, Liberty, NY 12754-2010 | 2020-10-09 |
| 1093287401 | Katya Czarina Ditan | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2018-12-24 |
| 1164939773 | Willan Smith Garcia | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2018-01-04 |
| 1922253566 | Michelle Anne Entoma Guanzon | Specialist | 21 Mill St, Liberty, NY 12754-2010 | 2008-11-24 |
| 1689702201 | Advanced Physical Therapy & Chiropractic, Pllc | Chiropractor | 21 Mill St, Liberty, NY 12754-2010 | 2007-03-02 |
| 1841343621 | Spina Chiropractic Office PC | Chiropractor | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| 1912050709 | Advanced Health & Medical,p.c. | Legal Medicine | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| 1659424372 | Advanced Medical of Middletown PC | Legal Medicine | 21 Mill St, Liberty, NY 12754-2010 | 2007-01-18 |
| 1356430540 | Sullivan County Physical Therapy,pc | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2006-10-12 |
| 1992726038 | Novalyn Ramos | Physical Therapist | 21 Mill St, Liberty, NY 12754-2010 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| 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 |
|---|---|---|---|---|
| 1235730466 | Inline Chiropractic Center, LLC | Chiropractor | 244 W Mill St Ste 105, Liberty, MO 64068-2398 | 2020-11-04 |
| 1992352306 | Chandra Arne-hildebrand | Chiropractor | 239 S Stewart Rd, Liberty, MO 64068-4206 | 2019-08-20 |
| 1568979342 | Samantha Jo Stokes | Chiropractor | 1508 Ne 96th St Ste B, Liberty, MO 64068-1396 | 2018-01-03 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1740649284 | Garrett Smith | Chiropractor | 527 N 291 Hwy Ste B, Liberty, MO 64068-1071 | 2016-02-11 |
| 1700207933 | Gibson Chiropractic Clinic Jodi Pedersen General Partner | Chiropractor | 28b Westwoods Dr, Liberty, MO 64068-3519 | 2013-12-13 |
| 1407101140 | Weathers Chiropractic Center Pllc | Chiropractor | 128 West Broken St, Liberty, MS 39645 | 2012-07-18 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1508170887 | Tyler Lee Frame | Chiropractor | 899 S State Road 101, Liberty, IN 47353-9045 | 2010-07-29 |
| 1649583550 | Alvin J. Richard, PC | Chiropractor | 2720 N. Main Street, Liberty, TX 77575-3909 | 2010-07-20 |
| Find all providers in LIBERTY | ||||
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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.