MAYFIELD-BACON AUTO & ACCIDENT CLINIC (NPI# 1396047981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396047981 |
| Entity Type | Organization |
| Organization Name | MAYFIELD-BACON AUTO & ACCIDENT CLINIC |
| Practice Address |
820 Jordan St Ste 110 Shreveport LA 71101-4519 |
| Mailing Address |
Po Box 14923 Monroe LA 71207-4923 |
| Practice Telephone | 3188551517 |
| Practice Fax Number | 3188281685 |
| Mailing Telephone | 3188281517 |
| Mailing Fax Number | 3188551685 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | DR. GREGORY J MAYFIELD (OWNER) |
| Authorized Official Telephone | 3188556162 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1067 | LA | Chiropractic Providers |
| Street Address |
820 JORDAN ST STE 110 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 1124596929 | Rachael Ann Durst | Chiropractor | 1520 N Hearne Ave Ste 103, Shreveport, LA 71107-7155 | 2018-11-09 |
| 1952760423 | Dempsey R. Zahn | Chiropractor | 1005 Southland Park Dr, Shreveport, LA 71118-3218 | 2016-02-12 |
| 1164852927 | Diamond Brown | Chiropractor | 1950 E 70th St Ste Cd, Shreveport, LA 71105-5345 | 2013-11-14 |
| 1932456407 | Kimberly L Griggs | Chiropractor | 8575 Fern Ave Ste 101, Shreveport, LA 71105-5677 | 2012-08-14 |
| 1790067593 | Ryan Lee Bates | Chiropractor | 7591 Fern Ave Ste 1502, Shreveport, LA 71105-5748 | 2011-09-16 |
| 1649456278 | Jason L Maggio | Chiropractor | 8575 Fern Ave, Suite 101, Shreveport, LA 71105-5676 | 2008-01-14 |
| 1992912380 | Eastgate Chiropractic Clinic, Inc | Chiropractor | 1520 N Hearne Ave, Suite 103, Shreveport, LA 71107-7155 | 2007-05-17 |
| 1669687273 | Timothy Robert Levin | Chiropractor | 7700 Jewella Ave, Suite 114, Shreveport, LA 71108-5050 | 2007-05-14 |
| 1629290713 | Michael W Taylor | Chiropractor | 1850 Nelson St, Suite D, Shreveport, LA 71107 | 2007-05-02 |
| 1366587420 | Paul F. Johnston | Chiropractor | 9141 Walker Rd, Shreveport, LA 71118-2940 | 2007-02-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MAYFIELD-BACON AUTO & ACCIDENT CLINIC.
| 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.