ALLEGIANT INTEGRATIVE MEDICINE (NPI# 1700448032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700448032 |
| Entity Type | Organization |
| Organization Name | ALLEGIANT INTEGRATIVE MEDICINE |
| Practice Address |
229 N Egan Ave Burns OR 97720 |
| Practice Telephone | 5415737733 |
| Mailing Telephone | 5415737733 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | KEVIN S JOHNSON (OWNER/CEO) |
| Authorized Official Telephone | 5415737733 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ALLEGIANT INTEGRATIVE MEDICINE LLC | 229 N Egan Ave, Burns, OR 97720 |
| Street Address |
229 N EGAN AVE |
| City | BURNS |
| State | OR |
| Zip Code | 97720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830284 | Melanie Sue Arntz | Nurse Practitioner | 229 N Egan Ave, Burns, OR 97720-1741 | 2005-12-05 |
| 1720356744 | Kevin S. Johnson, D.c., PC | Chiropractor | 229 N Egan Ave, Burns, OR 97720-1741 | 2011-12-05 |
| 1942529565 | Thomas M Fitzpatrick Md LLC | Family Medicine | 229 N Egan Ave, Burns, OR 97720-1741 | 2010-05-21 |
| 1861666042 | W Joy Stevens | Marriage & Family Therapist | 229 N Egan Ave, Burns, OR 97720-1741 | 2008-04-17 |
| 1063609949 | Toni Feist Medical Services LLC | Nursing Facility/Intermediate Care Facility | 229 N Egan Ave, Burns, OR 97720-1741 | 2007-09-25 |
| 1790990745 | Robert J. Krauel O.d.,llc | Optometrist | 229 N Egan Ave, Burns, OR 97720-1741 | 2007-05-13 |
| 1194867200 | Kevin Stuart Johnson | Chiropractor | 229 N Egan Ave, Burns, OR 97720-1741 | 2007-02-13 |
| 1871666370 | Robert John Krauel | Optometrist | 229 N Egan Ave, Burns, OR 97720-1741 | 2006-11-15 |
| 1588684781 | Thomas Mark Fitzpatrick | Family Medicine | 229 N Egan Ave, Burns, OR 97720-1741 | 2006-07-20 |
| 1144206954 | Michelle Davies | Nurse Practitioner | 229 N Egan Ave, Burns, OR 97720-1741 | 2005-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489388 | Courtney Colleen Mcmullen | Speech-Language Pathologist | 860 N. Court Ave, Burns, OR 97720 | 2020-02-19 |
| 1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
| 1831231414 | County of Harney | Preventive Medicine | 420 N. Fairview, Burns, OR 97720 | 2007-02-12 |
| 1902956006 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-11 |
| 1497747745 | Ladd Shaner | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2005-08-22 |
| 1386008696 | Brittnee Zmuda | Student in an Organized Health Care Education/Training Program | 5005 N Piedras Street, El Paso, TX 97720 | 2016-04-12 |
| 1689812620 | County of Harney | Public Health or Welfare | 420 N. Fairview, Burns, OR 97720 | 2009-01-29 |
| 1912112293 | Richard Thein | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2007-05-11 |
| 1124178868 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-12 |
| 1316034838 | William Barstow | Obstetrics & Gynecology | 559 W Washington St, Burns, OR 97720 | 2006-10-06 |
| Find all providers in zip 97720 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234674 | Sme Hawaii PC Inc | General Practice | 6021 Se Heike St, Hillsboro, OR 97123-8296 | 2020-10-27 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1336697143 | Rita Lawler | General Practice | 8353 Se Clatsop Ct, Portland, OR 97266-6159 | 2016-09-21 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1659730760 | Propel Network, LLC | General Practice | 14525 Sw Millikan Way, Beaverton, OR 97005-2343 | 2016-02-17 |
| 1235526849 | Hollis Lule Augee | General Practice | 5151 S.w. 88th Ave., Portland, OR 97225-1717 | 2015-04-21 |
| 1023428034 | Victoria L. Larson | General Practice | 10,000 Se 222nd Ave., Damascus, OR 97089-6517 | 2014-04-29 |
| 1093134496 | Red Leaf Natural Health Clinic | General Practice | 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 | 2014-04-14 |
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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.