Universal Treatment and Recovery Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1467 Issued in OH

Legal business name

UNIVERSAL TREATMENT AND RECOVERY CENTER LLC

Practice address

42553 North Ridge Road
Suite 8
Elyria, OH 44035

Phone

(440) 324-4488

Fax

(440) 324-2465

NPI assigned

Sep 8, 2006

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Allan Van Skyhock, DC

Title

Member

Phone

(440) 324-4488

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1013011238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42553 NORTH RIDGE ROAD",
            "address_2": "SUITE 8",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-324-4488",
            "fax_number": "440-324-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42553 NORTH RIDGE ROAD",
            "address_2": "SUITE 8",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-324-4488",
            "fax_number": "440-324-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL TREATMENT AND RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "VAN SKYHOCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-324-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1467",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3541",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004082",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2948369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew J Turner
• Nicholas James Tuttle, PA-C
• Susan Diane Twining, LSW, OCPS 11
• Kennith Earl Twitty Jr., STNA
• Misty Tyree
• University Hospitals Cleveland Medical Center (UH Meds Elyria Pharmacy)
• University Primary Care Practices, Inc. (UH Tri City Family Medicine)
• Rebecca L Urig, LISW-S
• James Urwin
• Michael Vacante, D.O.

• Chiropractor in Elyria, OH
• Providers in Elyria, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.