DR. MARIA M MARICICH (NPI# 1962542332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962542332 |
| Entity Type | Individual |
| Full Name | DR. MARIA M MARICICH |
| Other Name | L MARIA MARICICH |
| Credential | D.C. |
| Practice Address |
131 4th St. E, Suite 310 Ketchum ID 83340 |
| Mailing Address |
Po Box 6459 Ketchum ID 83340 |
| Practice Telephone | 2087266010 |
| Practice Fax Number | 2087266010 |
| Mailing Telephone | 2087266010 |
| Mailing Fax Number | 2087266010 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | C622 | ID | Chiropractic Providers |
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
CHIA622 | ID | Chiropractic Providers |
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
CHIA622 | ID | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIA622 | ID | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
CHIA622 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | C622-8 | 01 |
| ID | BLUE SHEILD | 0000-1002-0870 | 01 |
| Street Address |
131 4TH ST. E, SUITE 310 |
| City | KETCHUM |
| State | ID |
| Zip Code | 83340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779606 | Rooted Womens Health | Occupational Therapist | 431 N Walnut Ave, Ketchum, ID 83340 | 2020-10-29 |
| 1841826252 | Pilar Settlemier Tumolo | Counselor | 220 River Street East, Ketchum, ID 83340 | 2020-03-17 |
| 1598390643 | Alyson Holmes Witmer | Counselor | 220 2nd Ave, Ste 201, Ketchum, ID 83340 | 2020-03-10 |
| 1952864506 | Mollie Parker Szybala | Naturopath | 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 | 2019-04-10 |
| 1740789353 | Courtney Loving | Counselor | 208 N. Spruce, Ketchum, ID 83340 | 2018-02-09 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
| 1265895775 | Innerhealth Md PC | Acupuncturist | 180 West 1st Street, Suite 206, Ketchum, ID 83340 | 2016-04-01 |
| 1487023503 | Tomomi Ikawa | Chiropractor | 131 4th St. E., Suite 310, Ketchum, ID 83340 | 2015-09-18 |
| 1790195766 | Maria Morris | Acupuncturist | 220 South 2nd Ave #101, Ketchum, ID 83340 | 2014-04-30 |
| Find all providers in zip 83340 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861555286 | Back Country Chiropractic and Wellness Center Inc. | Chiropractor | 201 Park St., Mccall, ID 83638-1005 | 2006-12-18 |
| 1457362816 | Jason West | Chiropractor | 1185 Call Pl, Pocatello, ID 83201-3034 | 2006-08-11 |
| 1598702367 | Benjamin Edward Jeppe | Chiropractor | 4491 N Dresden Pl Ste 3, Garden City, ID 83714-1391 | 2006-06-01 |
| 1710103643 | Linda Joy Uma Mulnick | Chiropractor | 201 Park St., Mccall, ID 83638-1005 | 2007-04-18 |
| 1033287040 | Robert E Ward IIi | Chiropractor | 135 Warren Ave, Pocatello, ID 83201-4621 | 2006-11-30 |
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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.