Thomas E Gudaitis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3811 Issued in OH

Practice address

1553 Niles Cortland Rd SE
Warren, OH 44484-3073

Phone

(330) 505-3515

Fax

(330) 505-3552

NPI assigned

Jul 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Integrated Health LLCGroup PAC ID 7810280567, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Integrated Health, LLC

  • Chiropractor
  • Boardman, OH
  • NPI 1407204639
  Medicare reassignment Care Compare group NPD
• Dr Cecil Chiropractic LLC

  • Chiropractor
  • Warren, OH
  • NPI 1447556741
  NPD (past)
• Washington Square Chiropractic Clinic, LLC

  • Chiropractor
  • Chagrin Falls, OH
  • NPI 1376754473
  NPD (past)
• Wellnessone of Warren

  • Chiropractor
  • Warren, OH
  • NPI 1003834870
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1043400815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843073",
            "telephone_number": "330-505-3515",
            "fax_number": "330-505-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843073",
            "telephone_number": "330-505-3515",
            "fax_number": "330-505-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDAITIS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Grimmett
• Thomas Michael Grischow, O.D.
• Christine Groves, CCC
• Rebecca Grubbs, RN
• Jodi Guarnieri
• Guided Peace Counseling
• David Guido
• Rhonda Chrissa-Marie Dimpse Guiseppi, M.D.
• Travis Colin Gullett, M.D.
• Sherri Louise Gunter, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.