Patrick J McCluskey DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PATRICK J MCCLUSKEY DC INC

Practice address

9257 W Sprague Rd
North Royalton, OH 44133-1208

Phone

(440) 884-0083

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Patrick McCluskey, D.C.NPI 1861502668

Title

President

Phone

(440) 884-0083

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Timber Ridge Neck & Back Pain Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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

• Patrick McCluskey

  • Sports Physician Chiropractor
  • North Royalton, OH
  • NPI 1861502668
  Medicare reassignment NPD Authorized official
• Janette Vodhanel, NURSE PRACTICIONER

  • Nurse Practitioner
  • Canfield, OH
  • NPI 1811996630
  NPD

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1114197779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9257 W SPRAGUE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331208",
            "telephone_number": "440-884-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9257 W SPRAGUE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331208",
            "telephone_number": "440-884-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J MCCLUSKEY DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-884-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350040559",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000121631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timber Ridge Neck & Back Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Parschen, PTA
• Flavia Pasca
• Rimal A Patel, APRN,FNP-BC
• Trisha Patel, MD
• Pathways Family Counseling, LLC
• Kathleen McGunnigle Payne, PH.D.
• Vladimir Petkovic, DDS
• Philip E. Glanville O.D.,Inc.
• Christine Marie Phillips, PHD
• Danielle Pietruszka

• Chiropractor in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.