OLD MILL CHIROPRACTIC, LLC (NPI# 1720486608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720486608 |
| Entity Type | Organization |
| Organization Name | OLD MILL CHIROPRACTIC, LLC |
| Practice Address |
235 Jungermann Rd Ste 209 Saint Peters MO 63376-5365 |
| Practice Telephone | 6369287387 |
| Practice Fax Number | 6369281269 |
| Mailing Telephone | 6369287387 |
| Mailing Fax Number | 6369281269 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | DR. DANIEL L COOGAN (REGISTERED AGENT) |
| Authorized Official Telephone | 6369287387 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 005306 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MULTI-PLAN | 11108197 | 01 | |
| MO | ANTHEM BLUE CROSS BLUE SHIELD | 19328 | 01 |
| MO | 756872206 | 05 | |
| HEALTHLINK | 109583 | 01 | |
| COVENTRY HEALTH CARE OF MISSOURI | 213359 | 01 | |
| RAILROAD MEDICARE | 350025791 | 01 | |
| AMERICAN SPECIALTY HEALTH NETWORK | 1035382 | 01 | |
| UNITED HEALTHCARE | 4409506 | 01 | |
| AETNA | 4411412 | 01 | |
| MO | BCBS MEDICARE ADVANTAGE | 472420 | 01 |
| CIGNA | 6593160002 | 01 |
| Street Address |
235 JUNGERMANN RD STE 209 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-5365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679048102 | Durbin Chiropractic, LLC | Chiropractor | 235 Jungermann Rd Ste 209, Saint Peters, MO 63376-5365 | 2018-10-11 |
| 1699258020 | Samuel Edward Durbin Jr. | Chiropractor | 235 Jungermann Rd Ste 209, Saint Peters, MO 63376 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| 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 |
|---|---|---|---|---|
| 1255947230 | Matthew Mcpeak | Chiropractor | 4200 N Cloverleaf Dr Ste M, Saint Peters, MO 63376-6436 | 2020-09-16 |
| 1790322659 | David Joseph Brickey | Chiropractor | 4139 Mexico Rd, Saint Peters, MO 63376-6410 | 2019-12-10 |
| 1326512591 | Zachary Hefner | Chiropractor | 150 Jungermann Rd, Saint Peters, MO 63376-1698 | 2019-01-21 |
| 1861901761 | Advanced Wellness Chiropractic LLC | Chiropractor | 1395 Triad Center Dr Ste 2, Saint Peters, MO 63376-7352 | 2017-09-22 |
| 1912379769 | Kinetic Care Chiropractic & Rehabilitation, LLC | Chiropractor | 511 Salt Lick Rd, Saint Peters, MO 63376-1288 | 2015-10-20 |
| 1154799732 | Eric Byerly | Chiropractor | 1045 Briley St, Saint Peters, MO 63376-2794 | 2015-09-13 |
| 1902289945 | A Better You Chiropractic | Chiropractor | 22 Wild Deer Ln, Saint Peters, MO 63376-4231 | 2015-07-08 |
| 1548686025 | Core Concepts Chiropractic | Chiropractor | 107 Olympic Way, Saint Peters, MO 63376-1664 | 2014-03-08 |
| 1083039929 | Julianne Christine Thake | Chiropractor | 2705 Saint Peters Howell Rd, Ste J, Saint Peters, MO 63376-2821 | 2014-03-01 |
| 1811248404 | Doc On Demand, LLC | Chiropractor | 500 Jungermann Rd Ste 200, Saint Peters, MO 63376-2774 | 2012-09-24 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on OLD MILL CHIROPRACTIC, LLC.
| 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.