DR. PHILIP IVANOV (NPI# 1871723890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871723890 |
| Entity Type | Individual |
| Full Name | DR. PHILIP IVANOV |
| Credential | D.C. |
| Practice Address |
6935 Old Canton Rd Suite A Ridgeland MS 39157-1284 |
| Practice Telephone | 6019566050 |
| Practice Fax Number | 6019520738 |
| Mailing Telephone | 6019566050 |
| Mailing Fax Number | 6019520738 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1148 | MS | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548563430 | Philip Ivanov | Physical Therapist | 180 Alt 19, Suite B, Palm Harbor, FL 34683-5308 | 2010-12-15 |
| Street Address |
6935 OLD CANTON RD SUITE A |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093891830 | William Brent Cumberland | Chiropractor | 6935 Old Canton Rd, Ste A, Ridgeland, MS 39157 | 2006-10-27 |
| 1265505267 | Action Chiropractic Center | Chiropractor | 6935 Old Canton Rd, Ridgeland, MS 39157-1284 | 2006-11-16 |
| 1609953843 | Dominique Roch Chagnon | Chiropractor | 6935 Old Canton Rd, Ste A, Ridgeland, MS 39157 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| 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 |
|---|---|---|---|---|
| 1134455983 | Miles Family Chiropractic | Chiropractor | 794 W. Main Street, Ridgeland, SC 29936-6317 | 2009-10-29 |
| 1417092065 | Linda Chinnici Wells | Chiropractor | 124 Railroad Ave, Ridgeland, SC 29936 | 2007-02-21 |
| 1588716625 | Samuel Edward Gamble | Chiropractor | 575 Highway 51, Ridgeland, MS 39157-2593 | 2007-01-17 |
| 1093891830 | William Brent Cumberland | Chiropractor | 6935 Old Canton Rd, Ste A, Ridgeland, MS 39157 | 2006-10-27 |
| 1609976810 | Leo C Huddleston | Chiropractor | 6500 Old Canton Rd, Ridgeland, MS 39157-1313 | 2006-09-25 |
| 1285131367 | Family Chiropractic Care, LLC | Chiropractor | 575 Highway 51, Ridgeland, MS 39157 | 2018-04-06 |
| 1164946398 | Haley Thomason Mccollum | Chiropractor | 101 W Washington St Ste C1, Ridgeland, MS 39157-2434 | 2017-07-31 |
| 1033650304 | Jared Edward Jodon | Chiropractor | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2017-03-20 |
| 1831637065 | Jodon Chiropractic Clinic Inc. | Chiropractor | 149 Riverwalk Blvd, Suite 6, Ridgeland, SC 29936-8190 | 2017-02-08 |
| 1649646027 | Northeast Chiropractic Clinic, Inc. | Chiropractor | 575 Highway 51, Ridgeland, MS 39157-2593 | 2015-08-19 |
| Find all providers in RIDGELAND | ||||
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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.