Cosgrove Chiropractic PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002547 Issued in WA

Legal business name

COSGROVE CHIROPRACTIC PS

Practice address

110 N Blakeley St
Monroe, WA 98272-1823

Phone

(360) 794-7600

Fax

(360) 794-9377

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Heidi K Gallagher

Title

Office Manager

Phone

(360) 794-7600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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

• Carl Owen Cosgrove, D.C.

  • Chiropractor
  • Monroe, WA
  • NPI 1013160373
  Medicare reassignment
• Daniel L Peltonen, DC

  • Chiropractor
  • Monroe, WA
  • NPI 1083769509
  NPD (past)
• Moriah Hamlin Waldenberg, LMP

  • Massage Therapist
  • Monroe, WA
  • NPI 1700069473
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1831691476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N BLAKELEY ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721823",
            "telephone_number": "360-794-7600",
            "fax_number": "360-794-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BLAKELEY ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721823",
            "telephone_number": "360-794-7600",
            "fax_number": "360-794-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSGROVE CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-794-7600"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conquer Addiction PLLC
• Elizabeth Cool, LMP
• Victoria Lou Coons, RPH
• Jenny Cordova, L.M.P.
• Kelly Coryell, LABA
• Carl Owen Cosgrove, D.C.
• Erica Marie Coulter
• Pamela S Counsell
• Herbert Wesley Courtney Jr., O.D.
• George Bryon Craig, DDS, PLLC

• Chiropractor in Monroe, WA
• Providers in Monroe, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.