OCEAN BEACH CHIROPRACTIC PS (NPI# 1639396203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639396203 |
| Entity Type | Organization |
| Organization Name | OCEAN BEACH CHIROPRACTIC PS |
| Practice Address |
167 First Avenue, North Ilwaco WA 98624 |
| Mailing Address |
Po Box 186 167 First Avenue, North Ilwaco WA 98624-0924 |
| Practice Telephone | 3606422474 |
| Practice Fax Number | 3606422363 |
| Mailing Telephone | 3606422474 |
| Mailing Fax Number | 3606422363 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | DR. MATTHEW J REILLY (CEO) |
| Authorized Official Telephone | 3606422474 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034693 | WA | Chiropractic Providers |
| Street Address |
167 FIRST AVENUE, NORTH |
| City | ILWACO |
| State | WA |
| Zip Code | 98624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609074863 | Ocean Beach Chiropractic | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
| 1720216302 | Jeffrey J Chabot | Pharmacist | 101 Spruce, Ilwaco, WA 98624 | 2009-06-23 |
| 1700025137 | Penny Irene Neal | Specialist | 120 First Avenue, Ilwaco, WA 98624 | 2009-02-09 |
| 1487817508 | Pacific Heart Associates PC | Specialist | 174 First Ave N, Ilwaco, WA 98624 | 2008-07-09 |
| 1265568133 | Tamra Kay Roloff | Midwife | 901 Lakeview Drive, Ilwaco, WA 98624 | 2007-02-26 |
| 1255416038 | Peninsula Pharmacies Inc | Pharmacy | 101 1st Ave South, Ilwaco, WA 98624 | 2006-10-27 |
| 1356423883 | Ocean Beach Physical Therapy Inc | Physical Therapist | 316 1st Ave. North, Ilwaco, WA 98624 | 2006-10-20 |
| 1295825727 | Thomas Sutherland | Pharmacist | 101 First Ave S, Ilwaco Pharmacy, Ilwaco, WA 98624 | 2006-10-13 |
| 1922198662 | Victoria Margaret Vestal | Physical Therapist | 316 1st Ave North, Ilwaco, WA 98624 | 2006-10-13 |
| 1437261146 | Matthew J Reilly | Chiropractor | 167 1st. Ave. N., Ilwaco, WA 98624 | 2006-08-31 |
| Find all providers in zip 98624 | ||||
| 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 |
|---|---|---|---|---|
| 1437261146 | Matthew J Reilly | Chiropractor | 167 1st. Ave. N., Ilwaco, WA 98624 | 2006-08-31 |
| 1609074863 | Ocean Beach Chiropractic | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1134726417 | Logan Chavez | Chiropractor | 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926-5423 | 2020-10-08 |
| 1467059212 | Anderson Chiropractic Corporation, P.s. | Chiropractor | 6720 Regents Blvd Ste 108, University Place, WA 98466-5400 | 2020-10-05 |
| 1063019966 | Madison Allen | Chiropractor | 12339 Clubhouse Ln, Mukilteo, WA 98275-5577 | 2020-10-04 |
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1235743402 | Caleb Mcinnis | Chiropractor | 18336 Aurora Ave N Ste 111, Shoreline, WA 98133-4526 | 2020-09-03 |
| 1174135925 | Brent Duncan | Chiropractor | 4813 Sw Walker St, Seattle, WA 98116-2149 | 2020-08-21 |
| 1336750900 | Hanchuan Ma | Chiropractor | 4744 41st Ave Sw Apt 415, Seattle, WA 98116-4568 | 2020-08-16 |
| 1285244079 | Wellness Group Pllc | Chiropractor | 2007 152nd Ave Ne Ste W, Redmond, WA 98052-5521 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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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.