ELITE SPINAL REHAB, P.C (NPI# 1386882983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386882983 |
| Entity Type | Organization |
| Organization Name | ELITE SPINAL REHAB, P.C |
| Practice Address |
2753 86th St Urbandale IA 50322-4336 |
| Practice Telephone | 5152785940 |
| Practice Fax Number | 5152781517 |
| Mailing Telephone | 5152785940 |
| Mailing Fax Number | 5152781517 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | DR. SCOTT OLLIN RICHMOND (PRESIDENT) |
| Authorized Official Telephone | 5152785940 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06832 | IA | Chiropractic Providers |
| Street Address |
2753 86TH ST |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144312810 | Scott Ollin Richmond | Chiropractor | 2753 86th St, Urbandale, IA 50322-4336 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| 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 |
|---|---|---|---|---|
| 1851935985 | Hollie Lynn Radig | Chiropractor | 9400 Plum Dr Ste 140, Urbandale, IA 50322-6242 | 2019-10-31 |
| 1053812511 | Thrive Family Chiropractic Pllc | Chiropractor | 3731 86th St, Urbandale, IA 50322-4008 | 2018-02-21 |
| 1720591753 | Alternative Wellness Center Inc | Chiropractor | 8525 Douglas Ave Ste 36, Urbandale, IA 50322-2925 | 2017-11-13 |
| 1518327717 | Advanced Spine Health Center | Chiropractor | 8431 Hickman Rd, Urbandale, IA 50322-4319 | 2016-03-01 |
| 1750762241 | Discover Chiropractic LLC | Chiropractor | 4656 86th St, Urbandale, IA 50322-1026 | 2015-06-10 |
| 1568889996 | Midwest Natural Health, Inc. | Chiropractor | 8515 Douglas Ave Ste 25, Urbandale, IA 50322-2924 | 2014-03-24 |
| 1205279254 | Lifestream Chiropractic Clinic | Chiropractor | 7195 Nw 54th Ave, Urbandale, IA 50322-6915 | 2013-04-09 |
| 1891032884 | Gregory D Pray | Chiropractor | 2765 86th St, Urbandale, IA 50322-4336 | 2013-01-10 |
| 1437420981 | Brooks Cristopher Newton | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2012-01-14 |
| 1699051029 | Vander Sluis Chiropractic, LLC | Chiropractor | 8521 Hickman Rd, Urbandale, IA 50322-4321 | 2011-10-31 |
| Find all providers in URBANDALE | ||||
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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.