| Prowellness Chiropractic | |
|
3955 Alexandria Pike Cold Spring KY 41076-2027 | |
| (859) 431-4430 | |
| (859) 431-9560 |
| Full Name | Prowellness Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3955 Alexandria Pike, Cold Spring, Kentucky |
| Authorized Official Name and Position | Mark Anthony Johnson (CHIROPRACTOR) |
| Authorized Official Contact | 8594314430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prowellness Chiropractic 3955 Alexandria Pike Cold Spring KY 41076-2027 Ph: (859) 431-4430 | Prowellness Chiropractic 3955 Alexandria Pike Cold Spring KY 41076-2027 Ph: (859) 431-4430 |
| NPI Number | 1851570923 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 2062596067 |
|---|---|
| Medicare Enrollment ID | O20080229000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851570923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5076 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Gary D Callioni |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851311336 PECOS PAC ID: 9436172913 Enrollment ID: I20060111000148 |
| Provider Name | Mark A Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225226954 PECOS PAC ID: 4880778885 Enrollment ID: I20080229000199 |
| Provider Name | Jessica Ann Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891117529 PECOS PAC ID: 5092028308 Enrollment ID: I20150715002395 |
| Provider Name | Kelsey Renee Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104414283 PECOS PAC ID: 4082021696 Enrollment ID: I20210326002212 |
| Provider Name | Tyler Joseph Broering |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477206225 PECOS PAC ID: 6507259546 Enrollment ID: I20220215001448 |
| Provider Name | Tanner Ruberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134758725 PECOS PAC ID: 8123483260 Enrollment ID: I20230425002149 |
Riverside Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3609 Alexandria Pike, Cold Spring, KY 41076 Phone: 513-542-2456 Fax: 513-542-3139 | |
Alliance Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Plaza Dr, Cold Spring, KY 41076 Phone: 859-442-1500 Fax: 859-442-1501 | |
St Luke Physicians For Women Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Plaza Dr, Cold Spring, KY 41076 Phone: 859-442-1530 | |
Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 St. Michael Drive, Cold Spring, KY 41076 Phone: 859-781-4111 | |
Community First Urgent Care, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3699 Alexandria Pike Ste 2, Cold Spring, KY 41076 Phone: 859-442-8444 |