DR. L. SHANE HART (NPI# 1407960123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407960123 |
Entity Type | Individual |
Full Name | DR. L. SHANE HART |
Credential | D.C. |
Practice Address |
300 W Main St Bowling Green MO 63334-1561 |
Mailing Address |
300 W Main St P.o. Box 308 Bowling Green MO 63334-1561 |
Practice Telephone | 5733242225 |
Practice Fax Number | 5733246250 |
Mailing Telephone | 5733242225 |
Mailing Fax Number | 5733246250 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2010-03-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 005241 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS BLUE SHIELD | 22424 | 01 |
MO | BLUE CHOICE | 22424 | 01 |
MO | UNITED HEALTH CARE | 44-50040 | 01 |
MO | MERCY HEALTH PLANS | T43528 | 01 |
MO | TRIAD | 39-1886617 | 01 |
MO | AETNA | 5227583 | 01 |
MO | FIRST HEALTH | 910850-633 | 01 |
MO | 752706705 | 05 |
Street Address |
300 W MAIN ST |
City | BOWLING GREEN |
State | MO |
Zip Code | 63334-1561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205026176 | Hart Care Chiropractic Center | Chiropractor | 300 W Main St, Bowling Green, MO 63334-1561 | 2007-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992348304 | Heartland Hearing Center | Hearing Instrument Specialist | 313 Ste D South Business 61, Bowling Green, MO 63334 | 2019-10-18 |
1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
1609112754 | Advance Hannibal Regional Hospital, LLC | Physical Therapist | 710 Bus. Hwy 61 South, Bowling Green, MO 63334 | 2012-12-18 |
1346447158 | Tomas V Cabrera | Contractor | 13698 Pike 46 Airport Road, Bowling Green, MO 63334 | 2007-06-27 |
1720143621 | North East Commuinty Action Corp | Home Health Aide | 16 North Court Street, Bowling Green, MO 63334 | 2006-12-22 |
1649361205 | Anita J Huber | Chiropractor | 1420 Bus. Hwy. 61 South, Suite D, Bowling Green, MO 63334 | 2006-09-27 |
1912930397 | Dialysis Clinic Inc. | Clinic/Center | 4 Town Center Dr Ste F, Bowling Green, MO 63334 | 2006-07-08 |
1275918856 | Stephanie Diane Walker | Nurse Practitioner | 1420 S Business 61, Bowling Green, MO 63334 | 2015-07-24 |
1568664308 | Howard Jay Schneider | Dentist | 1015 W Adams St, Bowling Green, MO 63334 | 2007-06-04 |
Find all providers in zip 63334 |
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 |
---|---|---|---|---|
1902360449 | John Peters | Chiropractor | 651 U. S. 31 W. Bypass, Suite 202, Bowling Green, KY 42101-4977 | 2019-01-29 |
1962917682 | Bowling Green Family Chiropractic Pllc | Chiropractor | 651 Us 31w Byp Ste 202, Bowling Green, KY 42101-4977 | 2017-12-04 |
1407369036 | Raymond Stephen Kociolek | Chiropractor | 651 Us 31w Byp # 202, Bowling Green, KY 42101-4977 | 2017-11-06 |
1780063800 | Magna Chiropractic Spine Center of Bowling Green | Chiropractor | 830 Fairview Ave Ste A-3, Bowling Green, KY 42101 | 2015-05-21 |
1568870038 | Natural Health and Wellness Center LLC | Chiropractor | 2424 Airway Dr Ste B, Bowling Green, KY 42103-7125 | 2014-07-29 |
1922336213 | N Eight LLC | Chiropractor | 427 31-w Bypass, Suite 203, Bowling Green, KY 42101-1703 | 2009-11-24 |
1205074978 | Chad Alan Folk | Chiropractor | 427 Us 31w Byp Ste 203, Bowling Green, KY 42101-1703 | 2009-02-03 |
1316195100 | Body Works Chiropractic Psc | Chiropractor | 2965 N Mill Ave, Bowling Green, KY 42104-6304 | 2008-09-04 |
1457516007 | Amy Beth Brumlow | Chiropractor | 1043 Pedigo Way Ste 14, Bowling Green, KY 42103-7135 | 2008-07-23 |
1366601981 | Anita J. Huber, Dc | Chiropractor | 1420 S Business Highway 61 Ste D, Bowling Green, MO 63334-5230 | 2008-06-09 |
Find all providers in BOWLING GREEN |
City | BOWLING GREEN |
Zip Code | 63334 |
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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.