Michael D. Vennell DC PA

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

11599 Issued in TX

Legal business name

MICHAEL D. VENNELL DC PA

Practice address

3501 Soncy St. Ste #1
Amarillo, TX 79119-6405

Phone

(806) 356-7291

Fax

(806) 553-1598

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Vennell, D.C.NPI 1851693873

Title

Owner

Phone

(806) 356-7291

Specialties & licenses 1

Addresses

Other names 1

• Spine & Sports Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Michael Dewayne Vennell, DC

  • Sports Physician Chiropractor
  • Amarillo, TX
  • NPI 1851693873
  Medicare reassignment NPD Authorized official
• Richard William Abercrombie, DC

  • Chiropractor
  • Carlsbad, NM
  • NPI 1730612607
  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1851693618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SONCY ST. STE #1",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-356-7291",
            "fax_number": "806-553-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SONCY ST. STE #1",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-356-7291",
            "fax_number": "806-553-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. VENNELL DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "VENNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-356-7291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "11599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine & Sports Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine & Sports Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luann B Meyer, WHNP
• Thomas O Meyer, OT
• Jane Christine Meyers, ANP
• Jackely Meza Moreno
• Michael D Williams MD PA
• Michael O. Lagrone, M.D., P.a.
• Michael S Manderson MD PA
• Midtown Medical and Wellness Center
• James Paul Mihlhauser, CRNA
• Milan Patel MD PA

• Health Maintenance Organization in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.