DR. KELLY JO YERGAN (NPI# 1780224584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780224584 |
Entity Type | Individual |
Full Name | DR. KELLY JO YERGAN |
Credential | DC |
Practice Address |
8872 E Market St Warren OH 44484-2350 |
Mailing Address |
111 Caroline Ave Hubbard OH 44425-1734 |
Practice Telephone | 7249448539 |
Mailing Telephone | 7249448539 |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-01-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-04910 | OH | Chiropractic Providers |
Street Address |
8872 E MARKET ST |
City | WARREN |
State | OH |
Zip Code | 44484-2350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336779529 | Whole Life Family Chiropractic, LLC | Chiropractor | 8872 E Market St, Warren, OH 44484-2350 | 2020-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
Find all providers in zip 44484 |
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 |
---|---|---|---|---|
1932714805 | Edward Vinnikov | Chiropractor | 6 Crosswood Way, Warren, NJ 07059-6785 | 2020-09-09 |
1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
1114474715 | Van Dyke Spine Center | Chiropractor | 27423 Van Dyke Avenue, Warren, MI 48093 | 2016-09-01 |
1144673278 | Core Chiropractic Center, LLC | Chiropractor | 8098 E Market St Ste 2, Warren, OH 44484-2270 | 2016-07-13 |
1073977575 | Elijah M. Frederick Redman | Chiropractor | 31444 Bretz Dr, Warren, MI 48093-1639 | 2016-04-11 |
1518331826 | Zachary John Smith | Chiropractor | 327 Pennsylvania Ave W, Warren, PA 16365-2427 | 2015-11-24 |
1073983508 | Robert J Gatto Jr Chiropractor PC | Chiropractor | 100 Crescent Park, Warren, PA 16365-2258 | 2015-09-27 |
1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
1932542453 | Matthew Stephen Aggarwal | Chiropractor | 837 Mahoning Ave Nw, Warren, OH 44483-4611 | 2013-04-15 |
Find all providers in WARREN |
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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.