DR. JUSTIN WADE FOGO (NPI# 1417167271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417167271 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WADE FOGO |
| Credential | DC |
| Practice Address |
398 Chesser Road Suite 2 Chelsea AL 35043 |
| Practice Telephone | 2056781000 |
| Practice Fax Number | 2056781001 |
| Mailing Telephone | 2056781000 |
| Mailing Fax Number | 2056781001 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2069 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS PROVIDER | 51525708 | 01 |
| Street Address |
398 CHESSER ROAD SUITE 2 |
| City | CHELSEA |
| State | AL |
| Zip Code | 35043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371909 | Rachael Fogel | Pharmacist | 16468 Us-280, Chelsea, AL 35043 | 2015-07-17 |
| 1063707396 | Baptist Health Center Chelsea | Family Medicine | 15582 Us Highway 280, Suite 110, Chelsea, AL 35043 | 2011-06-15 |
| 1780977447 | Chelsea Urgent Care | Family Medicine | 15582 Hwy 280, Sute 106, Chelsea, AL 35043 | 2011-05-27 |
| 1851606925 | Ryan A Draiss | Dentist | 407 Chelsea Crossraods, Chelsea, AL 35043 | 2010-08-13 |
| 1538356324 | Benjamin Enterprises, Inc | Chiropractor | 16054 Old Hwy 280, Suite 200, Chelsea, AL 35043 | 2007-09-26 |
| 1841487766 | Town of Chelsea | Ambulance | 104 Chesser Drive, Chelsea, AL 35043 | 2007-09-25 |
| 1265656649 | Wal-mart Stores, Inc. | Technician/Technologist | 16077 Hwy 280, Chelsea, AL 35043 | 2007-04-13 |
| 1992827885 | Chelsea Family Dentistry, PC | Dentist | 300 Jade Park, Ste 302, Chelsea, AL 35043 | 2007-04-04 |
| 1770623647 | Chelsea Apothecary Inc | Pharmacy | 16724 Hwy 280, Chelsea, AL 35043 | 2007-02-08 |
| 1619071339 | Mary Catherine Harris | Pharmacist | 150 Chelsea Corners, Chelsea, AL 35043 | 2006-09-12 |
| Find all providers in zip 35043 | ||||
| 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 |
|---|---|---|---|---|
| 1508323619 | Ronald G Smith, Dc, Pllc | Chiropractor | 1250 S Main St Ste 1a, Chelsea, MI 48118-1453 | 2019-02-25 |
| 1609306380 | Curtis Chiropractic Pllc | Chiropractor | 1170 S Main St Ste 600, Chelsea, MI 48118-1472 | 2017-06-15 |
| 1295182111 | Katherine Royek | Chiropractor | 1307 S Main St Ste C, Chelsea, MI 48118-1479 | 2016-05-20 |
| 1851758585 | Chelsea Chiropractic, Inc. | Chiropractor | 398 Chesser Dr, Suite 2, Chelsea, AL 35043-8305 | 2016-01-26 |
| 1538501341 | Lisa Marie Mesko | Chiropractor | 350 N. Main St., Ste 250, Chelsea, MI 48118-1486 | 2013-07-22 |
| 1528306743 | Kimberly Diane White | Chiropractor | 350 N Main St., Suite 250, Chelsea, MI 48118-1486 | 2013-01-23 |
| 1538356324 | Benjamin Enterprises, Inc | Chiropractor | 16054 Old Hwy 280, Suite 200, Chelsea, AL 35043 | 2007-09-26 |
| 1053434977 | Ronald G Smith | Chiropractor | 1250 S Main St, Ste 1a, Chelsea, MI 48118-1453 | 2007-04-07 |
| 1851440598 | Baystate Health Services | Chiropractor | 90 Evertt Ave, Chelsea, MA 02150 | 2007-01-10 |
| 1669489720 | Michelle Hewitt | Chiropractor | 1307 S Main St, Suite C, Chelsea, MI 48118-1479 | 2006-08-02 |
| Find all providers in CHELSEA | ||||
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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.