Active NPI
Ronald J Stacy II, DC
- Chiropractor
- Columbus, OH
National Provider Identifier
1164422937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC3556
- Practice address
- 1194 Old Henderson Rd Ste B
Columbus, OH 43220-3694 - Phone
- (614) 429-3443
- Fax
- (614) 429-3479
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC3556 | OH | Primary |
Addresses
Primary practice location
1194 Old Henderson Rd Ste B
Columbus, OH 43220-3694
Mailing address
1194 Old Henderson Rd Ste B
Columbus, OH 43220-3694
Phone (614) 429-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2517477 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3556 | OH | MD | Clinical Psychologist |
| DC3556 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Total Injury and Rehab LLC | Chiropractor | Current | Accepting new patients |
| Bryan Schuetz D C Inc. | Chiropractor | Past | Accepting new patients |
| Capital City Regenerative Medicine LLC | Past | Accepting new patients | |
| Northcoast Injury & Rehab | Past | Accepting new patients |
Locations
1194 Old Henderson Rd
Ste B
Columbus, OH 43220
Phone (614) 429-3443
Organizations & group practices 4
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.
-
- Chiropractor
- Columbus, OH
- NPI 1083324446
-
- Family Medicine Physician
- Worthington, OH
- NPI 1023620879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1164422937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1194 OLD HENDERSON RD STE B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203694",
"telephone_number": "614-429-3443",
"fax_number": "614-429-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 OLD HENDERSON RD STE B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203694",
"telephone_number": "614-429-3443",
"fax_number": "614-429-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACY",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC3556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2517477",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.