DR. ERIC DANIEL PAYNE (NPI# 1669567764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669567764 |
| Entity Type | Individual |
| Full Name | DR. ERIC DANIEL PAYNE |
| Credential | DC |
| Practice Address |
418 Church St Ottumwa IA 52501-4213 |
| Practice Telephone | 6418145314 |
| Mailing Telephone | 6418145314 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006585 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0279976 | 05 | |
| BLUE CROSS SHIELD | 34085 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770667982 | Eric Douglas Payne | Physical Therapist | 17 Avenida Campo Verde, Santa Fe, NM 87506 | 2006-10-24 |
| 1306801089 | Eric Matthew Payne | Optometrist | 13601 S Dixie Hwy, Miami, FL 33176-7219 | 2006-04-18 |
| 1356306864 | Eric Alan Payne | Internal Medicine | 709 Riverside Dr., Franklinton, LA 70438 | 2006-04-18 |
| 1649623604 | Eric L Payne | Counselor | 2404 Ferrand St, Ste. 23, Monroe, LA 71201 | 2016-07-14 |
| 1710389580 | Eric Thomas Payne | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-09-23 |
| 1235336942 | Eric William Payne | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2007-06-27 |
| 1255443453 | Eric O Payne | Nurse Anesthetist, Certified Registered | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2006-08-31 |
| Street Address |
418 CHURCH ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| 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 |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1609376730 | Southeast Iowa Chiropractic LLC | Chiropractor | 104 Elmdale Ave, Ottumwa, IA 52501-1234 | 2018-02-15 |
| 1891128849 | Gooden Family Chiropractic LLC | Chiropractor | 1223 Theatre Dr Ste B, Ottumwa, IA 52501-3772 | 2013-08-13 |
| 1619282001 | Nathan D Overturf | Chiropractor | 508 N Ferry St, Ottumwa, IA 52501-4107 | 2010-08-10 |
| 1326366097 | Richard W Rupp | Chiropractor | 641 Pennsylvania Ave, Ottumwa, IA 52501-2116 | 2010-05-05 |
| 1134168677 | David James Tucker | Chiropractor | 121 S Court St, Ottumwa, IA 52501-2519 | 2006-06-06 |
| 1992769855 | Bruce Lindberg | Chiropractor | 297 Richmond Ave, Ottumwa, IA 52501 | 2006-04-17 |
| 1568437952 | Jason John Sothman | Chiropractor | 213 N Washington St, Ottumwa, IA 52501-2535 | 2006-02-21 |
| 1518930312 | Brent Cullinan | Chiropractor | 801 N Quincy Ave, Ottumwa, IA 52501-3850 | 2006-02-10 |
| 1720068612 | Thomas M Cosgrove | Chiropractor | 1429 Albia Rd, Ottumwa, IA 52501-3946 | 2006-01-18 |
| Find all providers in OTTUMWA | ||||
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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.