EDMISTONE ACUPUNCTURE & CHIROPRACTIC (NPI# 1518384163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518384163 |
| Entity Type | Organization |
| Organization Name | EDMISTONE ACUPUNCTURE & CHIROPRACTIC |
| Practice Address |
1317 W Highway 50 O Fallon IL 62269-1616 |
| Practice Telephone | 6186248080 |
| Practice Fax Number | 6182068070 |
| Mailing Telephone | 6186248080 |
| Mailing Fax Number | 6182068070 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MR. RONALD ALLEN EDMISTON (OWNER) |
| Authorized Official Telephone | 6186248080 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 03801464 | IL | Chiropractic Providers |
| Street Address |
1317 W HIGHWAY 50 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1003473950 | Daniel Thomas Spitler II | Chiropractor | 1246 Bryan Rd, O Fallon, MO 63366-3771 | 2019-05-28 |
| 1992203491 | Brandon Michael Daniels | Chiropractor | 734 Cambridge Blvd # 100, O Fallon, IL 62269-1964 | 2018-01-30 |
| 1144738022 | Margaret Stupakewicz | Chiropractor | 199 Frontier Park Dr, O Fallon, MO 63366-3963 | 2018-01-13 |
| 1003326075 | Keim Family Chiropractic LLC | Chiropractor | 804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 | 2017-10-04 |
| 1073033452 | Bone & Joint Chiropractic Center LLC | Chiropractor | 2917 Highway K Ste F, O Fallon, MO 63368-7879 | 2017-06-26 |
| 1356894273 | Bradley Agan | Chiropractor | 1297 Bryan Rd, O Fallon, MO 63366-3729 | 2016-07-27 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| 1164801353 | John Mischel | Chiropractor | 1411 W Highway 50 Ste 103, O Fallon, IL 62269-1683 | 2015-05-21 |
| 1982012555 | Laura Mcateer Dc LLC | Chiropractor | 7287 Watsons Parish Dr, O Fallon, MO 63368-8151 | 2014-07-28 |
| 1841588597 | Ryan David Mccain | Chiropractor | 1278 Bryan Rd, O Fallon, MO 63366-3771 | 2011-07-15 |
| Find all providers in O FALLON | ||||
Please comment or provide details below to improve the information on EDMISTONE ACUPUNCTURE & CHIROPRACTIC.
| 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.