DR. COREY DAVID IDROGO (NPI# 1710318142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710318142 |
| Entity Type | Individual |
| Full Name | DR. COREY DAVID IDROGO |
| Credential | D.C. |
| Practice Address |
4109 Mountain View Ave Suite 400 Chattanooga TN 37415 |
| Mailing Address |
4109 Mountain View Ave Suite 400 Chattanooga TN 37415-2096 |
| Practice Telephone | 4233151690 |
| Practice Fax Number | 4237775571 |
| Mailing Telephone | 4233151690 |
| Mailing Fax Number | 4237777751 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2852 | TN | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038012545 | IL | Chiropractic Providers |
| Street Address |
4109 MOUNTAIN VIEW AVE SUITE 400 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447508098 | Frederick H Thompson | Dentist | 4109 Mountain View Ave, Suite 300, Chattanooga, TN 37415-2096 | 2012-08-29 |
| 1023632783 | Centered Physical Medicine & Chiropractic PC | Durable Medical Equipment & Medical Supplies | 4109 Mountain View Ave, Chattanooga, TN 37415-2096 | 2020-05-28 |
| 1205299229 | Centered Health & Wellness, Pllc | Chiropractor | 4109 Mountain View Ave, Suite 400, Chattanooga, TN 37415-2096 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1811358781 | Bisscom Consulting and Services | Social Worker | 2021 Ashmore Ave, Chattanooga, TN 37415 | 2016-03-18 |
| 1700241783 | Megan D. Vonwerssowetz | Nurse Practitioner | 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 | 2015-12-17 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1033403969 | Stephen Denney Muller | Counselor | 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 | 2011-06-08 |
| 1619115938 | Connie Elizabeth Fesmire | Registered Nurse | 3119 Reflecting Drive, Chattanooga, TN 37415 | 2009-01-23 |
| 1205972395 | Ella Grace Ford | Social Worker | 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 | 2007-01-29 |
| 1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
| Find all providers in zip 37415 | ||||
| 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 |
|---|---|---|---|---|
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1578129805 | Centered Physical Medicine & Chiropractic PC | Chiropractor | 4109 Mountain View Ave Ste 400, Chattanooga, TN 37415-2096 | 2019-05-13 |
| 1255893400 | Bryan Jeffrey Christoffer | Chiropractor | 1309 Panorama Dr Ste 115, Chattanooga, TN 37421-4772 | 2019-04-04 |
| 1053882886 | Terrance M Eyerly Jr. | Chiropractor | 1829 Gunbarrel Rd Ste 107, Chattanooga, TN 37421-7254 | 2018-12-05 |
| 1801363924 | Rai'an Alexandria Harris | Chiropractor | 1919 Gunbarrel Rd Ste 141, Chattanooga, TN 37421-4152 | 2018-10-26 |
| 1598243305 | Cody Dale Middleton | Chiropractor | 408 Hedgewood Dr, Chattanooga, TN 37405-4604 | 2018-08-02 |
| 1689150757 | Lookout Chiropractic, Pllc | Chiropractor | 3536 Cummings Hwy Ste 120, Chattanooga, TN 37419-2436 | 2018-07-12 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1245733070 | Jeffrey Laflamme | Chiropractor | 200 Manufacturers Rd., Ste 210, Chattanooga, TN 37405-5002 | 2018-03-18 |
| 1194227637 | Bartosz Bogucki | Chiropractor | 512 Tremont St Ste B, Chattanooga, TN 37405-4178 | 2018-02-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37415 |
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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.