EITZEN CHIROPRACTIC PLLC (NPI# 1902942048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902942048 |
| Entity Type | Organization |
| Organization Name | EITZEN CHIROPRACTIC PLLC |
| Other Organization Name | ADVANCED CHIROPRACTIC CENTER |
| Practice Address |
523 S Independence St Enid OK 73701-5631 |
| Practice Telephone | 5802375007 |
| Practice Fax Number | 5802346851 |
| Mailing Telephone | 5802375007 |
| Mailing Fax Number | 5802346851 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN BRADLEY EITZEN (CHIROPRACTOR) |
| Authorized Official Telephone | 5802375007 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3805 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS PROVIDER NUMBER | 446902380001 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Chiropractic Center | Doing Business As Name - Organization |
| Street Address |
523 S INDEPENDENCE ST |
| City | ENID |
| State | OK |
| Zip Code | 73701-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215026273 | John Bradley Eitzen | Chiropractor | 523 S Independence St, Enid, OK 73701-5631 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184969438 | Ambulatory Surgery Center of Enid, LLC | Clinic/Center | 524 N Van Buren St, Enid, OK 73703-4455 | 2012-11-27 |
| 1407964950 | Surgery Center of Enid Inc | Clinic/Center | 1133 West Willow Rd, Enid, OK 73703 | 2006-08-25 |
| 1730719105 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2020-01-24 |
| 1972955292 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2016-07-11 |
| 1205232683 | Osu Center for Health Sciences | Clinic/Center | 620 S Madison St, Suite 105, Enid, OK 73701-7273 | 2014-11-12 |
| 1720419179 | Osu Center for Health Sciences | Clinic/Center | 915 E Garriott Rd, Suite B, Enid, OK 73701-6156 | 2013-12-11 |
| 1619302635 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2013-09-10 |
| 1164857181 | Osu Center for Health Sciences | Clinic/Center | 915 E Owen K Garriott Rd, Suite A, Enid, OK 73701-6156 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
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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.