DR. PETER WILLIAM VERCELLINO (NPI# 1619434388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619434388 |
| Entity Type | Individual |
| Full Name | DR. PETER WILLIAM VERCELLINO |
| Credential | DC |
| Practice Address |
3350 N Water St Ste A Decatur IL 62526-2353 |
| Mailing Address |
484 N 33rd St Decatur IL 62521-2314 |
| Practice Telephone | 2178772404 |
| Practice Fax Number | 2178772522 |
| Mailing Telephone | 2175204433 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013325 | IL | Chiropractic Providers |
| Street Address |
3350 N WATER ST STE A |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881152288 | Vercellino Purchasing Co | Chiropractor | 3350 N Water St Ste A, Decatur, IL 62526-2353 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1821621590 | Ericka Gonzalez-mercado | Chiropractor | 301 S Washburn St Ste D, Decatur, TX 76234-1658 | 2020-02-20 |
| 1811531684 | Kealy Olvera | Chiropractor | 3910 Flat Shoals Pkwy, Decatur, GA 30034-7510 | 2019-11-04 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1437700515 | Cara Gilligan | Chiropractor | 409 Mead Rd Unit 3, Decatur, GA 30030-3639 | 2019-09-20 |
| 1164078440 | Jodi K Green | Chiropractor | 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | 2019-08-13 |
| 1134771389 | Keysa Bailey | Chiropractor | 1089 Columbia Dr, Decatur, GA 30030-4728 | 2019-07-09 |
| 1245798545 | Xavier Ortiz Valle | Chiropractor | 1585 Church St Ste 665, Decatur, GA 30033-6059 | 2019-03-05 |
| 1891268439 | Timothy A Peck Dc PC | Chiropractor | 2934 Point Mallard Pkwy Se # B2, Decatur, AL 35603-5700 | 2019-01-07 |
| 1487046066 | Haley Wilkins | Chiropractor | 2605 Danville Rd Sw, Decatur, AL 35603-4216 | 2015-02-19 |
| 1467877241 | Audra M. Smith | Chiropractor | 627 E College Ave, Suite H, Decatur, GA 30030-5320 | 2014-03-03 |
| Find all providers in DECATUR | ||||
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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.