Melissa Georgevitch Chiropractic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MELISSA GEORGEVITCH CHIROPRACTIC LLC

Practice address

724 W Osage St
Pacific, MO 63069-1219

Phone

(636) 422-0174

NPI assigned

Aug 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melissa Marie Georgevitch, DCNPI 1891222022

Title

Owner/Provider

Phone

(314) 681-3221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Marie Georgevitch, DC

  • Chiropractor
  • Pacific, MO
  • NPI 1891222022
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1760038392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 W HAWTHORNE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691849",
            "telephone_number": "314-681-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691219",
            "telephone_number": "636-422-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA GEORGEVITCH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "GEORGEVITCH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "314-681-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine Lisa Liebmann, MA. LPC
• Tina Lusk, DNP, APRN, PMHNP-BC
• Debra Kay Lyons, LPC
• Kathleen McAuliffe, DPT
• Mary Melillo
• Meramec Valley R3 School District
• Stephanie M Meyer, MD
• Missouri CVS Pharmacy LLC
• Stephanie L. Murphy, DC
• Patricia Ann Niehoo, P.T.

• Health Service Clinic/Center in Pacific, MO
• Providers in Pacific, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.