DR. MIRANDA MISTOLER (NPI# 1619443819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619443819 |
| Entity Type | Individual |
| Full Name | DR. MIRANDA MISTOLER |
| Credential | DC |
| Practice Address |
3195 Leaphart Rd West Columbia SC 29169-3001 |
| Practice Telephone | 8035079555 |
| Mailing Telephone | 8035079555 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4325 | SC | Chiropractic Providers |
| Street Address |
3195 LEAPHART RD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1538707518 | Cccwc, LLC | Chiropractor | 604 12th St, West Columbia, SC 29169-6337 | 2019-12-20 |
| 1487032603 | Jonathan Gardner | Chiropractor | 2230 Airport Blvd, West Columbia, SC 29170-3173 | 2015-05-07 |
| 1639411812 | Johnathan Charles Dabney | Chiropractor | 161 Medical Cir, West Columbia, SC 29169-3655 | 2013-03-26 |
| 1538414735 | Chandler Chiropractic LLC | Chiropractor | 3119 Sunset Blvd, West Columbia, SC 29169-3425 | 2012-07-13 |
| 1326317900 | Juan Ramirez Jr. | Chiropractor | 202 S Columbia Dr, West Columbia, TX 77486-3020 | 2011-12-27 |
| 1154624922 | Marah W Rutland | Chiropractor | 1519 Augusta Rd Ste A, West Columbia, SC 29169-6167 | 2010-12-16 |
| 1871747493 | Clinton Drake Jacobs | Chiropractor | 2427 Fish Hatchery Rd, West Columbia, SC 29172-2093 | 2008-11-10 |
| 1093975682 | Ronald J Shows | Chiropractor | 2243 C Leaphart Rd, Leaphart Chiropractic LLC, West Columbia, SC 29169 | 2008-06-17 |
| 1639377633 | Max Collins | Chiropractor | 1929 Leander Dr, West Columbia, SC 29172-2559 | 2007-07-11 |
| 1851468458 | James G Bonham Jr. | Chiropractor | 1525b Sunset Blvd, West Columbia, SC 29169-5917 | 2006-11-29 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on DR. MIRANDA MISTOLER.
| 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.