Active NPI
Louis Demicco DO Inc.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Painesville, OH
National Provider Identifier
1174948418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 34006748
- Legal business name
- LOUIS DEMICCO DO INC.
- Practice address
- 263 Mentor Ave
Painesville, OH 44077-3105 - Phone
- (440) 354-5643
- Fax
- (440) 354-5645
- NPI assigned
- Feb 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy Lee Pruzinsky
- Title
- Claims Processer
- Phone
- (440) 354-5643
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 233 | OH | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 34006748 | OH | Primary |
| Physical Therapist | 225100000X | 012350 | OH |
Addresses
Primary practice location
263 Mentor Ave
Painesville, OH 44077-3105
Mailing address
263 Mentor Ave
Painesville, OH 44077-3105
Phone (440) 354-5643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
25000 Euclid Ave
Ste 302
Euclid, OH 44117
Phone (216) 731-9215
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Painesville, OH
- NPI 1700823309
-
- Chiropractor
- Chesterland, OH
- NPI 1699818880
-
- Physical Therapist
- Painesville, OH
- NPI 1851523807
-
- Emergency Medicine Physician
- Parma, OH
- NPI 1568502466
-
- Massage Therapist
- Euclid, OH
- NPI 1811601438
-
- Massage Therapist
- Euclid, OH
- NPI 1861106015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1174948418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 MENTOR AVE",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773105",
"telephone_number": "440-354-5643",
"fax_number": "440-354-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 MENTOR AVE",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773105",
"telephone_number": "440-354-5643",
"fax_number": "440-354-5645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUIS DEMICCO DO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-24",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "PRUZINSKY",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CLAIMS PROCESSER",
"authorized_official_telephone_number": "440-354-5643",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "233",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OH",
"license": "34006748",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OH",
"license": "012350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.