MOUNTAIN STATE CHIROPRACTIC (NPI# 1366501447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366501447 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN STATE CHIROPRACTIC |
| Practice Address |
310 Market St Man WV 25635-1321 |
| Mailing Address |
Po Box 664 Man WV 25635-0664 |
| Practice Telephone | 3045836400 |
| Mailing Telephone | 3045836400 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHNATHAN MATTHEW ELLIS (DOCTOR) |
| Authorized Official Telephone | 3045836400 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 823 | WV | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0208726000 | 05 |
| Street Address |
310 MARKET ST |
| City | MAN |
| State | WV |
| Zip Code | 25635-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760518468 | John White IIi | Chiropractor | 310 Market St, Man, WV 25635-1321 | 2007-02-26 |
| 1548396724 | Melissa White | Chiropractor | 310 Market St, Man, WV 25635-1321 | 2007-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456718 | Jennifer Lynn Fletcher | Registered Nurse | 800 East Mcdonald Avenue, Man, WV 25635 | 2019-09-13 |
| 1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
| 1053660167 | Misty Linville Collins | Pharmacist | 650 East Mcdonald Ave, Man, WV 25635 | 2012-09-05 |
| 1760551618 | Community Prescription Center Inc | Durable Medical Equipment & Medical Supplies | 124 Main St, Man, WV 25635 | 2006-11-07 |
| 1902835010 | Family Healthcare Associates Inc | Family Medicine | 114 Main Street, Man, WV 25635-0114 | 2006-07-01 |
| 1780090167 | Julie Ann Walls | Nurse Practitioner | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2014-07-07 |
| 1033370051 | Philip A Galapon | Family Medicine | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2008-06-23 |
| 1750363685 | Christopher Joseph Tipton | Physician Assistant | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2005-11-16 |
| 1225175102 | Terri D Doss | Pharmacist | 601 E Mcdonald Ave, Prescription Center, Man, WV 25635-1022 | 2007-01-31 |
| 1184620841 | Community Health Foundation of Man Wv | Clinic/Center | 600 East Mcdonald Avenue, Man, WV 25635-1023 | 2005-06-27 |
| Find all providers in zip 25635 | ||||
| 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 |
|---|---|---|---|---|
| 1083634026 | Jonathan Matthew Ellis | Chiropractor | 123 Market St, Man, WV 25635-1216 | 2006-07-20 |
| 1760518468 | John White IIi | Chiropractor | 310 Market St, Man, WV 25635-1321 | 2007-02-26 |
| 1548396724 | Melissa White | Chiropractor | 310 Market St, Man, WV 25635-1321 | 2007-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070961 | Alix Rae Lilly | Chiropractor | 245 Thomas Ave, Davis, WV 26260 | 2020-07-10 |
| 1689232498 | Active Life Pllc | Chiropractor | 3474 Jefferson St N Ste 101, Lewisburg, WV 24901-5728 | 2019-06-05 |
| 1326578675 | Chiropractic Care Center Pllc | Chiropractor | 200 Route 98 W St Ste 105, Nutter Fort, WV 26301-4386 | 2017-06-19 |
| 1497283063 | Margarita Blanca Ramos | Chiropractor | 810 N Jefferson St Ste 101, Lewisburg, WV 24901-9543 | 2017-05-26 |
| 1235527888 | Wardlow Chiropractic Enterprise, Pllc | Chiropractor | 8747 Seneca Trl S, Ronceverte, WV 24970-8387 | 2015-01-06 |
| 1518364322 | Michael Gissy | Chiropractor | 368 West Main St, Ripley, WV 25271 | 2014-11-21 |
| 1053735118 | Jonas Layne Phares | Chiropractor | Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 | 2014-02-10 |
| 1093143588 | Jones & Morris Chiropractic Pllc | Chiropractor | 907 6th Ave, Saint Albans, WV 25177-2920 | 2013-10-22 |
| 1174956171 | American Family Chiropractic Physicians Inc | Chiropractor | 7355 U.S. Rt 152, Wayne, WV 25570 | 2013-08-13 |
| 1275970691 | Jason Nicholas Belcher | Chiropractor | 7355 Us Rt. 152, Wayne, WV 25570 | 2013-05-24 |
| 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.