Fedorko Chiropractic Health Ctr

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

919 Issued in OH

Legal business name

FEDORKO CHIROPRACTIC HEALTH CTR

Practice address

4774 Munson St NW
Suite 302
Canton, OH 44718-3634

Phone

(330) 494-0422

Fax

(330) 494-3601

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Steven Fedorko, DCNPI 1598861726

Title

Chiropractor Owner

Phone

(330) 494-0422

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Fedorko Chiropractic Health Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fedorko Chiropractic Health Ctr of Green

  • Chiropractor
  • Uniontown, OH
  • NPI 1770678799
  NPD tax ID

Locations

Practitioners 1

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

• Jeffrey Steven Fedorko, DC

  • Chiropractor
  • Canton, OH
  • NPI 1598861726
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144326356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 MUNSON ST NW",
            "address_2": "SUITE 302",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183634",
            "telephone_number": "330-494-0422",
            "fax_number": "330-494-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 MUNSON ST NW",
            "address_2": "SUITE 302",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183634",
            "telephone_number": "330-494-0422",
            "fax_number": "330-494-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDORKO CHIROPRACTIC HEALTH CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDORKO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "330-494-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "3413757900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakila Faulkner
• Rochelle Fausneaucht, MSN, RN, ACCNS-AG-BC
• Kimberly A Fawver, LCDCIII
• Madeline Fechheimer, LPC
• Brittany Danielle Feciuch, COTA/L
• Jeffrey Steven Fedorko, DC
• Madeline Fehn, LSW
• Rhoda Mae Fehn, S.0024681
• Jodi Lee Fellers, M.A.
• Andrew Michael Feltman, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.