DR. JAY MELVIN GREENBERG (NPI# 1518060904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518060904 |
Entity Type | Individual |
Full Name | DR. JAY MELVIN GREENBERG |
Credential | DC |
Practice Address |
29218 Highway 58 Blvd Red Wing MN 55066-7407 |
Practice Telephone | 6513888294 |
Practice Fax Number | 6513887461 |
Mailing Telephone | 6513888294 |
Mailing Fax Number | 6513887461 |
Enumeration Date | 2006-09-07 |
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 | 1402 | MN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CHIROCARE | 230288 | 01 | |
BLUE CROSS BLUE SHIELD | 31174GR | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396723359 | Jay N. Greenberg | Pediatrics | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2006-01-09 |
1154322238 | Jay B Greenberg | Obstetrics & Gynecology | 1130 Professional Ct, Hagerstown, MD 21740-5852 | 2005-08-10 |
Street Address |
29218 HIGHWAY 58 BLVD |
City | RED WING |
State | MN |
Zip Code | 55066-7407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871551473 | Bernie Orders Finch | Chiropractor | 29218 Highway 58 Blvd, Red Wing, MN 55066-7407 | 2006-05-03 |
1073744215 | Barbara Kaiser | Chiropractor | 29218 Highway 58 Blvd, Red Wing, MN 55066-7407 | 2009-08-05 |
1306949797 | Red Wing Chiropractic Clinic Pa | Chiropractor | 29218 Highway 58 Blvd, Red Wing, MN 55066-7407 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
Find all providers in zip 55066 |
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 |
---|---|---|---|---|
1861964314 | Center for Natural Healthcare, Pllc | Chiropractor | 1626 W 3rd St, Red Wing, MN 55066-2086 | 2018-12-21 |
1184083586 | Vanessa Bohr | Chiropractor | 122 Tyler Rd S, Red Wing, MN 55066-1733 | 2016-02-15 |
1790182335 | Innovative Chiropractic Center | Chiropractor | 201 D East Ave., Red Wing, MN 55041 | 2014-11-25 |
1487775987 | Kayvon Behnam | Chiropractor | 104 Burnside Ave S, Red Wing, MN 55066-1928 | 2007-04-02 |
1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
1487779534 | Brian Anthony Kroll | Chiropractor | 305 Bush St, Red Wing, MN 55066-2527 | 2007-03-20 |
1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
1538233101 | Downtown Chiropractic Ltd. | Chiropractor | 212 Fulton St, Red Wing, MN 55066-2219 | 2006-11-17 |
1427143163 | Jennifer J Patterson | Chiropractor | 416 W 3rd St, Red Wing, MN 55066-2384 | 2006-10-04 |
1568476216 | Susan M Eisenmenger | Chiropractor | 424 W 5th St, Red Wing, MN 55066-2524 | 2006-07-28 |
Find all providers in RED WING |
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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.