JBCHIRO1 LLC (NPI# 1790158293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790158293 |
Entity Type | Organization |
Organization Name | JBCHIRO1 LLC |
Other Organization Name | ADVANCED CHIROPRACTIC AND WELLNESS |
Practice Address |
11516 Lamey Bridge Rd Suite E Diberville MS 39540-2725 |
Practice Telephone | 2282076427 |
Practice Fax Number | 2282076428 |
Mailing Telephone | 2282076427 |
Mailing Fax Number | 2282076428 |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |
Authorized Official Name | DR. JOHN BAMBAN (OWNER) |
Authorized Official Telephone | 2282076427 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 1179 | MS | Managed Care Organizations |
Other Name | Type Code |
---|---|
Advanced Chiropractic and Wellness | Doing Business As Name - Organization |
Street Address |
11516 LAMEY BRIDGE RD SUITE E |
City | DIBERVILLE |
State | MS |
Zip Code | 39540-2725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629536925 | D'iberville Medical Clinic LLC | Family Medicine | 11516 Lamey Bridge Rd, Ste 1, Diberville, MS 39540-2725 | 2019-03-05 |
1508317405 | Cayla Switzer | Nurse Practitioner | 11516 Lamey Bridge Rd, Ste 2, Diberville, MS 39540-2725 | 2016-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
1750438255 | Andrea L Davis | Dentist | 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 | 2007-01-05 |
1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
1982618369 | Becky F Hollibaugh | Family Medicine | 3920 Promenade Pkwy, Biloxi, MS 39540 | 2006-07-28 |
Find all providers in zip 39540 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033609581 | Reconnect Wellnes Pascagoula LLC | Preferred Provider Organization | 4211 Hospital St Ste 114, Pascagoula, MS 39581-5320 | 2018-05-10 |
1912436981 | Reconnect Wellness Winona LLC | Preferred Provider Organization | 100 N Front St Ste A, Winona, MS 38967-2220 | 2017-06-05 |
1396286456 | Reconnect Wellness Bruce LLC | Preferred Provider Organization | 131 Public Square, Bruce, MS 38915 | 2017-03-09 |
1932648367 | Reconnect Wellness Laurel, LLC | Preferred Provider Organization | 910 Sawmill Rd Ste D29, Laurel, MS 39440-3961 | 2017-02-17 |
1598219511 | Love and Patience | Preferred Provider Organization | 14199 Ballentine Rd, Sardis, MS 38666-5416 | 2016-08-08 |
1750725297 | New Covenant Daycare | Preferred Provider Organization | 960 Highway 4 E, Holly Springs, MS 38635-2145 | 2013-04-27 |
1033454459 | Precious Hands Personal Care LLC | Preferred Provider Organization | 169 Rankin Rd, Columbia, MS 39429-3715 | 2012-12-11 |
1558613505 | Doddsville Adult Day Care | Preferred Provider Organization | 133 Miller, Doddsville, MS 38736-8736 | 2012-10-15 |
1184941676 | Oncall Medical Clinic, Pllc | Preferred Provider Organization | 3091 Bienville Blvd, Ocean Springs, MS 39564-4308 | 2010-04-23 |
1235361577 | Medical Billing Strategies, LLC | Preferred Provider Organization | 2180 Scanlon Dr, Jackson, MS 39204-4461 | 2009-08-20 |
Find all providers with the same taxonomy |
City | DIBERVILLE |
Zip Code | 39540 |
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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.