PERFORMANCE HEALTHCARE (NPI# 1568588689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568588689 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE HEALTHCARE |
| Other Organization Name | THE CENTER FOR CHIROPRACTIC & HUMAN PERFORMANCE, LLP |
| Practice Address |
10130 Davenport St Ne Suite 180 Blaine MN 55449-4776 |
| Mailing Address |
Po Box 490005 Blaine MN 55449-0005 |
| Practice Telephone | 7637843004 |
| Practice Fax Number | 7637803004 |
| Mailing Telephone | 7637843004 |
| Mailing Fax Number | 7637803004 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | DR. SCOTT THOMAS OSWALD (CHIROPRACTOR) |
| Authorized Official Telephone | 7637843004 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| The Center for Chiropractic & Human Performance, LLP | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PERFORMANCE HEALTHCARE MANAGEMENT, LLC | 333 Post Road West, Westport, CT 06880 |
| Street Address |
10130 DAVENPORT ST NE SUITE 180 |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-4776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144346263 | Scott Thomas Oswald | Chiropractor | 10130 Davenport St Ne, Suite 180, Blaine, MN 55449-4776 | 2007-03-21 |
| 1679699789 | Carrie Diane Oswald | Chiropractor | 10130 Davenport St Ne, Suite 180, Blaine, MN 55449-4776 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| 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 |
|---|---|---|---|---|
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1154715787 | Lunzer Chiropractic LLC | Chiropractor | 1847 129th Ave Ne, Blaine, MN 55449-4970 | 2015-03-20 |
| 1093103764 | Christelle Vang | Chiropractor | 12157 Dunkirk St Ne, Blaine, MN 55449-7502 | 2015-01-05 |
| 1326436064 | Alycean Maryrae Bergh | Chiropractor | 10950 Club West Pkwy Ste 190, Blaine, MN 55449-5862 | 2015-01-05 |
| 1063800704 | Ryan William Waddell | Chiropractor | 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 | 2015-01-05 |
| 1023381043 | Vaughn Chiropractic Pllc | Chiropractor | 10904 Baltimore St Ne, Ste 103, Blaine, MN 55449-5061 | 2012-02-22 |
| 1316217144 | Robert Lloyd Vaughn IIi | Chiropractor | 10904 Baltimore St Ne Ste 103, Blaine, MN 55449-5062 | 2012-01-10 |
| 1316244882 | Exodus Chiropractic, Pa | Chiropractor | 10950 Club West Pkwy, Suite 110, Blaine, MN 55449-4679 | 2011-02-18 |
| 1821233164 | Grant Alexander Redstone | Chiropractor | 1750 105th Avenue Ne, Blaine, MN 55449 | 2008-12-15 |
| Find all providers in BLAINE | ||||
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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.