DR. JERRY WAYNE VITEK (NPI# 1700812542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700812542 |
| Entity Type | Individual |
| Full Name | DR. JERRY WAYNE VITEK |
| Credential | D.C. |
| Practice Address |
12122 Highway 6 Santa Fe TX 77510-2021 |
| Mailing Address |
Po Box 589 Santa Fe TX 77517-0589 |
| Practice Telephone | 4099251803 |
| Practice Fax Number | 4099258812 |
| Mailing Telephone | 4099251803 |
| Mailing Fax Number | 4099258812 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5884 | TX | Chiropractic Providers |
| Street Address |
12122 HIGHWAY 6 |
| City | SANTA FE |
| State | TX |
| Zip Code | 77510-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316989668 | Santa Fe Chiropractic Center, Inc | Chiropractor | 12122 Highway 6, Santa Fe, TX 77510-2021 | 2006-06-12 |
| 1023233608 | Barbara S Brown | Chiropractor | 12122 Highway 6, Santa Fe, TX 77510-2021 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629587035 | Tonya Bowman | Counselor | 39 Prarie Oaks Drive, Santa Fe, TX 77510 | 2017-09-28 |
| 1144622259 | 518 Pharmaceutical Services LLC | Pharmacy | 4111 Fm 1764 Rd, Ste F, Santa Fe, TX 77510 | 2014-09-19 |
| 1619988201 | Ralleen Fay Glasin-barfoot | Chiropractor | 12122 Hwy 6, Santa Fe, TX 77510-0987 | 2006-08-10 |
| 1942523154 | Eloise Catrett | Nurse Practitioner | 11839 15th St, Santa Fe, TX 77510-2155 | 2010-03-03 |
| 1255659991 | Angela Marie Ryan | Rehabilitation Counselor | 4106 Twin Dr E, Santa Fe, TX 77510-3104 | 2010-05-05 |
| 1477037919 | Karlee Alayne Mcbride | Registered Nurse | 12222 Vista Real, Santa Fe, TX 77510-4036 | 2018-09-20 |
| 1689966269 | Frank Joesph Klementich | Pharmacist | 4218 Castle Dr, Santa Fe, TX 77510-6603 | 2011-05-13 |
| 1184768319 | Donald E Higgs | Pharmacist | 12430 Highway 6, Santa Fe, TX 77510-7608 | 2007-02-19 |
| 1194884601 | Mukaila A Raji | Internal Medicine | 12424 Highway 6, Santa Fe, TX 77510-7608 | 2006-12-08 |
| 1558322438 | Lena R Bruce | Legal Medicine | 12422 Highway 6, Santa Fe, TX 77510-7608 | 2006-03-30 |
| Find all providers in zip 77510 | ||||
| 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 |
|---|---|---|---|---|
| 1376197178 | Family Chiropractic Center of Santa Fe LLC | Chiropractor | 2019 Galisteo St Ste M6, Santa Fe, NM 87505-2106 | 2019-07-30 |
| 1477026292 | Carlos Sandoval | Chiropractor | 2860 Cerrillos Rd Ste C2, Santa Fe, NM 87507-2326 | 2019-01-03 |
| 1831602580 | Darsej Kai Rae | Chiropractor | 300 Paseo De Peralta Ste 205, Santa Fe, NM 87501-5501 | 2017-11-15 |
| 1609312172 | Back To Health Wellness Center. Inc | Chiropractor | 1651 Galisteo St Ste 12, Santa Fe, NM 87505-2113 | 2017-01-09 |
| 1619426251 | Randall Adam Polgar | Chiropractor | 2101 Senda De Daniel, Santa Fe, NM 87501-8361 | 2016-09-23 |
| 1386094415 | Robert Sanchez | Chiropractor | 1221 Flagman Way Ste B1, Santa Fe, NM 87505-1137 | 2016-06-20 |
| 1982067906 | Passalacqua Chiropractic Inc | Chiropractor | 17713 Us 84/285, Santa Fe, NM 87506-2668 | 2016-03-29 |
| 1750701728 | Christine Boiano | Chiropractor | 1418 Luisa St Ste 6, Santa Fe, NM 87505-4091 | 2014-04-17 |
| 1992072243 | Patrick Okeefe Chiropractic Inc | Chiropractor | 1421 Luisa St Ste A, Santa Fe, NM 87505-4073 | 2011-11-30 |
| 1780990846 | Grd Health Clinic Inc | Chiropractor | 1505 Llano St, Santa Fe, NM 87505-2003 | 2010-08-27 |
| Find all providers in SANTA FE | ||||
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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.