BLAKE HIMEL (NPI# 1699383935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699383935 |
| Entity Type | Individual |
| Full Name | BLAKE HIMEL |
| Credential | DC |
| Practice Address |
460 Brannon Rd Ste 101 Cumming GA 30041-8977 |
| Mailing Address |
3421 Castleberry Village Cir Cumming GA 30040-2378 |
| Practice Telephone | 7705732777 |
| Mailing Telephone | 9854143757 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1903 | LA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CHIR010389 | GA | Chiropractic Providers |
| Street Address |
460 BRANNON RD STE 101 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-8977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1447890371 | Diana Husk | Chiropractor | 2415 State Barn Rd Ste 101b, Cumming, GA 30040-3911 | 2020-01-08 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1316437148 | Georgia Family Chiropractic, LLC | Chiropractor | 114 Pirkle Ferry Road, Cumming, GA 30040 | 2018-05-17 |
| 1003273764 | Jennifer Lynn Katzer | Chiropractor | 7986 S Orilla Rd, Cumming, IA 50061-5807 | 2016-01-25 |
| 1346610037 | Robert Devon Comer | Chiropractor | 325 Peachtree Pkwy Ste 315, Cumming, GA 30041-6819 | 2015-10-07 |
| 1861831133 | Jason M Gregory | Chiropractor | 299 Canton Rd, Cumming, GA 30040 | 2013-06-20 |
| 1043583438 | Oncall Mobile Chiropractic L.L.C. | Chiropractor | 1620 Park Shore Dr, Cumming, GA 30041-8654 | 2012-02-15 |
| 1336420157 | Jeremy Ryan Jaques | Chiropractor | 6010 Southard Trce, Cumming, GA 30040-6343 | 2011-09-07 |
| 1720374812 | Gary Johns | Chiropractor | 4965 Northridge Dr, Cumming, GA 30040-1780 | 2011-06-27 |
| 1942473871 | Frankenberg Enterprises L.L.C. | Chiropractor | 1485 Peachtree Pkwy Ste D7, Cumming, GA 30041-0500 | 2008-04-11 |
| Find all providers in CUMMING | ||||
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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.