Michael Christopher Kreatsoulas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

05028 Issued in OH

Practice address

3050 Elm Rd NE Ste 5
Warren, OH 44483-2620

Phone

(330) 219-6879

NPI assigned

Dec 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Olympus Chiropractic and Wellness LLC

  • Chiropractor
  • Warren, OH
  • NPI 1578324687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1154918019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ELM RD NE STE 5",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ELM RD NE STE 5",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832620",
            "telephone_number": "330-219-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREATSOULAS",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "ACUP-00227",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "05028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Kramer, CDCA
• Susan Louise Kramer, LSW
• Jacqueline Leigh Kraml, LPN
• Shelley Lynn Krasinski, QMHS
• Amy Katherine Krause, DMD
• Beth A Krempasky, LPN
• Alexandria Kriech
• Matthew Krinock, DO
• Indira Krishnarao, M.D.
• Elaine Kroehle

• 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 May 16, 2024; 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.