VEGACORP PC (NPI# 1437694411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437694411 |
| Entity Type | Organization |
| Organization Name | VEGACORP PC |
| Other Organization Name | JOHNSON CHIROPRACTIC |
| Practice Address |
2094 185th St. Suite 40 Fairfield IA 52556-8758 |
| Mailing Address |
Po Box 2195 Fairfield IA 52556-0037 |
| Practice Telephone | 6414727333 |
| Practice Fax Number | 8882794868 |
| Mailing Telephone | 6414727333 |
| Mailing Fax Number | 8882794868 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2017-01-11 |
| Authorized Official Name | DR. ROBERT JOHNSON (CHIROPRACTOR) |
| Authorized Official Telephone | 6414727333 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ZZ111N00000X | 05 |
| Other Name | Type Code |
|---|---|
| Johnson Chiropractic | Doing Business As Name - Organization |
| Street Address |
2094 185TH ST. SUITE 40 |
| City | FAIRFIELD |
| State | IA |
| Zip Code | 52556-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
| Find all providers in zip 52556 | ||||
| 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 |
|---|---|---|---|---|
| 1134758725 | Tanner Ruberg | Chiropractor | 6101 Monastery Dr, Fairfield, OH 45014-4461 | 2020-04-06 |
| 1386116440 | John Boamah Jr. | Chiropractor | 1838 Black Rock Tpke Ste 2a, Fairfield, CT 06825-3501 | 2018-12-28 |
| 1750851804 | Virginia Applied Kinesiology LLC | Chiropractor | 206 E Burlington Ave, Fairfield, IA 52556-3117 | 2018-12-03 |
| 1881133304 | Andrew Nicholas Crape | Chiropractor | 1100 Kings Hwy E Ste 1c, Fairfield, CT 06825-5400 | 2017-02-16 |
| 1053859736 | Molloy Chiropractic LLC | Chiropractor | 264 Fairchild Ave, Fairfield, CT 06825-4872 | 2017-02-02 |
| 1114471315 | West Essex Chiropractic | Chiropractor | 54 Carlos Dr, Fairfield, NJ 07004-2117 | 2016-08-05 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1245647452 | Christopher Skelton | Chiropractor | 27 Halley Ct, Fairfield, CT 06825-5557 | 2014-07-20 |
| 1326464082 | Advanced Healthcare Clinic LLC | Chiropractor | 5 Williamson Dr Ste 300, Fairfield, IL 62837-2370 | 2014-03-05 |
| 1568899037 | Gary E Bocci Chiropractic, Inc | Chiropractor | 2801 Waterman Blvd Ste 260, Fairfield, CA 94534-2987 | 2013-09-30 |
| Find all providers in FAIRFIELD | ||||
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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.