DR. ROGER BERT BOUTWELL (NPI# 1396964250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396964250 |
| Entity Type | Individual |
| Full Name | DR. ROGER BERT BOUTWELL |
| Credential | DC |
| Practice Address |
3434 University Ave Columbus GA 31907 |
| Practice Telephone | 7065696996 |
| Practice Fax Number | 7065698898 |
| Mailing Telephone | 7065696996 |
| Mailing Fax Number | 7065698898 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01984 | GA | Chiropractic Providers |
| Street Address |
3434 UNIVERSITY AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| 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 |
|---|---|---|---|---|
| 1265044002 | Apollo Family Chiropractic LLC | Chiropractor | 3520 Snouffer Rd Ste 202, Columbus, OH 43235-2794 | 2020-08-22 |
| 1417567900 | Bennett Holt | Chiropractor | 3215 22nd St Ste C, Columbus, NE 68601-3181 | 2020-08-09 |
| 1477163244 | Mitchell-lee Wade | Chiropractor | 7646 Schomburg Rd, Columbus, GA 31909-1816 | 2020-08-05 |
| 1174133219 | Britt Chiropractic, LLC | Chiropractor | 2325a Martin Luther King Jr Dr, Columbus, MS 39705-2640 | 2020-08-04 |
| 1417593021 | Cir I | Chiropractor | 3901 E Livingston Ave Ste 102, Columbus, OH 43227-2302 | 2019-11-19 |
| 1093351603 | Cir II | Chiropractor | 2021 E Dublin Granville Rd Ste 145, Columbus, OH 43229-3591 | 2019-11-19 |
| 1184268252 | Clear Chiropractic Columbus, LLC | Chiropractor | 3623 25th St, Columbus, IN 47203-3002 | 2019-11-01 |
| 1386291516 | Joshua Kraig Eversman | Chiropractor | 1550 Old Henderson Rd Ste 160, Columbus, OH 43220-3696 | 2019-08-22 |
| 1801443536 | Carly B Cangelosi | Chiropractor | 6298 Veterans Pkwy Ste 10e, Columbus, GA 31909-6253 | 2019-08-19 |
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| Find all providers in COLUMBUS | ||||
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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.