DR. JACK W MCINERNY (NPI# 1518175108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518175108 |
| Entity Type | Individual |
| Full Name | DR. JACK W MCINERNY |
| Credential | DC |
| Practice Address |
4701 Auburn Way N Auburn WA 98002-1312 |
| Practice Telephone | 2538502225 |
| Practice Fax Number | 2538505757 |
| Mailing Telephone | 2538502225 |
| Mailing Fax Number | 2538505757 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0002412 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8377947 | 05 | |
| WA | DEPT OF L&I | 55469 | 01 |
| Street Address |
4701 AUBURN WAY N |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497977243 | John V Coffey D C Inc P S | Chiropractor | 4701 Auburn Way N, Auburn, WA 98002-1312 | 2007-05-02 |
| 1174013908 | Live Long and Prosper Chiropractic LLC | Chiropractor | 4701 Auburn Way N, Auburn, WA 98002 | 2018-05-17 |
| 1851807887 | Daniel Long | Chiropractor | 4701 Auburn Way N, Auburn, WA 98002-1312 | 2017-12-28 |
| 1467876904 | John V Coffey Dc Inc LLC | Chiropractor | 4701 Auburn Way N, Auburn, WA 98002-1312 | 2014-02-04 |
| 1164793865 | Rachel Christine Studley | Massage Therapist | 4701 Auburn Way N, Auburn, WA 98002-1312 | 2012-01-26 |
| 1033393590 | Amy J Storey | Chiropractor | 4701 Auburn Way N, Auburn, WA 98002-1312 | 2007-12-19 |
| 1003004516 | Terri Lynn Moore | Massage Therapist | 4701 Auburn Way N, Auburn, WA 98002-1312 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| 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 |
|---|---|---|---|---|
| 1134681695 | Stephanee Rhea Lewis | Chiropractor | 323 Airport Rd Ste A, Auburn, AL 36830-5701 | 2019-04-03 |
| 1558843862 | Urgent Care Chiropractic - Auburn | Chiropractor | 1340 M St Se Ste C, Auburn, WA 98002-6755 | 2018-09-04 |
| 1962901728 | Joseph Allen Townsend | Chiropractor | 323 Airport Rd Ste E, Auburn, AL 36830-5701 | 2018-02-07 |
| 1154788511 | Foundation Chiropractic P.s. | Chiropractor | 1118 Outlet Collection Way, Ste 101, Auburn, WA 98001 | 2016-01-15 |
| 1952766180 | James Dahlin | Chiropractor | 590 Rogers Ln, Auburn, CA 95603-7929 | 2015-12-14 |
| 1700265253 | Thanh Quoc Le | Chiropractor | 300 N Dean Rd Ste 2, Auburn, AL 36830-5045 | 2015-05-29 |
| 1730575127 | Proactive Spine & Joint LLC | Chiropractor | 1147 W 15th St, Auburn, IN 46706-2061 | 2015-04-13 |
| 1003208513 | Daniel Murphy | Chiropractor | 11840 Edgewood Rd, Auburn, CA 95603-3408 | 2015-02-21 |
| 1619378700 | Timothy Marc Whiting | Chiropractor | 2501 Turnpike Rd, Auburn, NY 13021-8603 | 2014-09-09 |
| 1629406228 | Gregory Charles Priebe | Chiropractor | 1501 15th St Nw Ste 102, Auburn, WA 98001-3507 | 2013-10-17 |
| Find all providers in AUBURN | ||||
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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.