DR. PACK LINTON MIRACLE (NPI# 1568591741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568591741 |
| Entity Type | Individual |
| Full Name | DR. PACK LINTON MIRACLE |
| Credential | D.C. |
| Practice Address |
3515 E 31st St Suite C Tulsa OK 74135-1520 |
| Practice Telephone | 9187489876 |
| Practice Fax Number | 9187489331 |
| Mailing Telephone | 9187489876 |
| Mailing Fax Number | 9187489331 |
| Enumeration Date | 2007-03-05 |
| 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 | 2476 | OK | Chiropractic Providers |
| Street Address |
3515 E 31ST ST SUITE C |
| City | TULSA |
| State | OK |
| Zip Code | 74135-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861532921 | Shirley Ann Thomas | Chiropractor | 3515 E 31st St, Suite B, Tulsa, OK 74135-1520 | 2007-02-07 |
| 1861905275 | Charles Mixon | Chiropractor | 3515 E 31st St, Tulsa, OK 74135-1520 | 2017-11-07 |
| 1912191503 | Gran Miracle Chiropractic Inc PC | Chiropractor | 3515 E 31st St, Suite C, Tulsa, OK 74135-1520 | 2007-08-28 |
| 1629107701 | Marcia Lynn Gran | Chiropractor | 3515 E 31st St, Suite C, Tulsa, OK 74135-1520 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| 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 |
|---|---|---|---|---|
| 1306465307 | Brennan Chiropractic Clinic Corporation | Chiropractor | 2140 S Harvard Ave Ste 111, Tulsa, OK 74114-1957 | 2020-04-10 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1043873912 | Eric S Curley Dc | Chiropractor | 7718 E 91st St Ste 100, Tulsa, OK 74133-6051 | 2019-04-17 |
| 1104337005 | Red Canyon Wellness | Chiropractor | 9999 South Mingo Rd., Ste. B, Tulsa, OK 74133-7413 | 2017-10-18 |
| 1316464522 | Ryan N Anson | Chiropractor | 2504 E 14th Pl Ste A, Tulsa, OK 74104-4607 | 2017-08-28 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1437609062 | Paul Kasishke II | Chiropractor | 11031 S Memorial Dr, Tulsa, OK 74133-7357 | 2016-10-06 |
| 1184170060 | Lumos Innate Centered Chiropractic | Chiropractor | 7171 S Braden Ave, Tulsa, OK 74136-6302 | 2016-08-30 |
| 1730537747 | Keystone Chiropractic, LLC | Chiropractor | 4835 S Fulton Ave Ste 103, Tulsa, OK 74135-6976 | 2016-05-31 |
| Find all providers in TULSA | ||||
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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.