TRILLIUM SPINAL CARE PLC (NPI# 1851839955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851839955 |
| Entity Type | Organization |
| Organization Name | TRILLIUM SPINAL CARE PLC |
| Practice Address |
2300 Superior Dr Nw Suite 2 Rochester MN 55901-3061 |
| Practice Telephone | 5073220133 |
| Mailing Telephone | 5073220133 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | DR. KALAN CLETE STITTLEBURG (OWNER) |
| Authorized Official Telephone | 7159370549 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 6317 | MN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 6314 | MN | Chiropractic Providers |
| Street Address |
2300 SUPERIOR DR NW SUITE 2 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445917 | Kalan Clete Stittleburg | Chiropractor | 2300 Superior Dr Nw, Ste 2, Rochester, MN 55901-3062 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| 1649897893 | Mary-margaret Baukol | Chiropractor | 275 37th St Ne Ste 200, Rochester, MN 55906-5438 | 2020-07-02 |
| 1073159489 | Anh Wellness Chiropractic Pllc | Chiropractor | 500 Helendale Rd Ste 160, Rochester, NY 14609-3125 | 2019-11-20 |
| 1477103042 | Caitlin R Simpson | Chiropractor | 1655 Elmwood Ave Ste 235, Rochester, NY 14620-3431 | 2019-09-16 |
| 1447721048 | Holly A Potter | Chiropractor | 2005 Lyell Ave Ste 115, Rochester, NY 14606-2325 | 2018-12-08 |
| 1306343819 | Christopher J Hartley | Chiropractor | 3257 19th St Nw Ste 1, Rochester, MN 55901-6797 | 2018-04-11 |
| 1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1598290884 | Rochester Chiropractic & Welln | Chiropractor | 3510 8th St Nw # 100, Rochester, MN 55901-5927 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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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.