Philip Ivanov (NPI# 1871723890, PAC ID# 1153463484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1871723890 |
| PAC ID by PECOS | 1153463484 |
| Professional Enrollment ID | I20100125000124 |
| Full Name | Philip Ivanov |
| Organization Legal Name | ACTION CHIROPRACTIC CENTER |
| Address |
6935 Old Canton Rd Ridgeland MS 39157-1268 |
| Phone Number | 6019566050 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2466410543 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6935 Old Canton Rd, Ridgeland, MS 39157-1268 | 6019566050 | ACTION CHIROPRACTIC CENTER |
| Organization Legal Name | ACTION CHIROPRACTIC CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique R Chagnon | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Gary F Demott | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Street Address |
6935 OLD CANTON RD |
| City | RIDGELAND |
| State | MS |
| Zip | 39157-1268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique R Chagnon | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Gary F Demott | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monique Thompson | Physical Therapy | 7048 Old Canton Rd, Suite 1000, Ridgeland, MS 39157-1008 | |
| Joshua C Massey | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Julie B Dawson | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Anh M Giang | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Michael J Phillips | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Jason Burl Hicks | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Suzanne Webster | Nurse Practitioner | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Manisha Sethi | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Leo C Huddleston | Chiropractic | 6500 Old Canton Rd, Ridgeland, MS 39157-1313 | |
| Adam R Crawford | Optometry | Crawford Eye Care | 301 Northlake Ave, Suite 101, Ridgeland, MS 39157-1720 |
| Find all physicians in zip 39157 | |||
| City | RIDGELAND |
| Zip Code | 39157 |
| Specialty | CHIROPRACTIC |
| City + Specialty | RIDGELAND + CHIROPRACTIC |
Please comment or provide details below to improve the information on Philip Ivanov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.