Organization Active NPI

Eastwood Medical Center Inc

  • Chiropractor
  • Warren, OH
National Provider Identifier
1043554801
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC.863 Issued in OH
Legal business name
EASTWOOD MEDICAL CENTER INC
Practice address
1055 Niles Cortland Rd SE
Warren, OH 44484-2540
Phone
(330) 856-9333
Fax
(330) 856-9382
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
James Morgenstern, DC
Title
Owner / Provider
Phone
(330) 856-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC.863 OH Primary

Addresses

Primary practice location

1055 Niles Cortland Rd SE
Warren, OH 44484-2540

Mailing address

1055 Niles Cortland Rd SE
Warren, OH 44484-2540
Phone (330) 856-9333

National Provider Directory

National Provider Directory

Locations

1055 Niles Cortland Rd SE
Warren, OH 44484
Phone (330) 856-9333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1043554801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842540",
            "telephone_number": "330-856-9333",
            "fax_number": "330-856-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842540",
            "telephone_number": "330-856-9333",
            "fax_number": "330-856-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "MORGENSTERN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "330-856-9333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC.863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.