JERRY NICHOLAS ST JOHN (NPI# 1932122694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932122694 |
| Entity Type | Individual |
| Full Name | JERRY NICHOLAS ST JOHN |
| Credential | DC |
| Practice Address |
300 E A Ave Easley SC 29640-2104 |
| Practice Telephone | 8648551523 |
| Practice Fax Number | 8648550380 |
| Mailing Telephone | 8648551523 |
| Mailing Fax Number | 8648550380 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1533 | SC | Chiropractic Providers |
| Street Address |
300 E A AVE |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531385 | St John Chiropractic & Wellness | Chiropractor | 300 E A Ave, Easley, SC 29640-2104 | 2020-02-25 |
| 1396915716 | Nancy S St John | Chiropractor | 300 E A Ave, Easley, SC 29640-2104 | 2008-03-03 |
| 1396949699 | J.n. St John LLC | Chiropractor | 300 E A Ave, Easley, SC 29640-2104 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| 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 |
|---|---|---|---|---|
| 1346774817 | Amber Davis | Chiropractor | 109 Cedar Cir, Easley, SC 29642-1125 | 2017-04-12 |
| 1699107995 | Easley Family Chiropractic | Chiropractor | 221 S Pendleton St, Easley, SC 29640-3047 | 2013-08-08 |
| 1518034099 | Jay Everette Young | Chiropractor | 4628 Calhoun Memorial Hwy, Easley, SC 29640-3829 | 2006-11-29 |
| 1831276344 | Victoria J Naumann | Chiropractor | 1097 S Pendleton St, Easley, SC 29642-1040 | 2006-11-01 |
| 1679658827 | Edward Mack Boren | Chiropractor | 6335 Calhoun Memorial, Suite C, Easley, SC 29640-3784 | 2006-10-26 |
| 1275549347 | Brian Deshields | Chiropractor | 838 Powdersville Rd Ste R, Easley, SC 29642-3703 | 2006-07-31 |
| 1043233323 | John R Travan | Chiropractor | 1824 E Main St, Ste G, Easley, SC 29640 | 2006-07-26 |
| 1861451205 | Herbert C. Garcia Jr. | Chiropractor | 1304 E Main St, Suite A, Easley, SC 29640-3741 | 2006-03-23 |
| 1750383444 | Christopher Vincent Bocchino | Chiropractor | 729 E Main St, Easley, SC 29640-3153 | 2005-08-11 |
| 1912531385 | St John Chiropractic & Wellness | Chiropractor | 300 E A Ave, Easley, SC 29640-2104 | 2020-02-25 |
| Find all providers in EASLEY | ||||
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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.