Organization Active NPI

Ohio Naturopathic, LLC

Doing business as Ohio Naturopathic Wellness Center

  • Naturopath
  • Boardman, OH
National Provider Identifier
1184041626
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099-0000113 Issued in VT
Legal business name
OHIO NATUROPATHIC, LLC
Doing business as
Ohio Naturopathic Wellness Center
Practice address
755 Boardman Canfield Rd
Suite D3
Boardman, OH 44512-4300
Phone
(330) 729-1350
NPI assigned
Mar 22, 2014
Last updated
Mar 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Authorized official

Name
Dr. Ted Suzelis, ND
Title
Owner
Phone
(330) 729-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 099-0000113 VT Primary

Addresses

Primary practice location

755 Boardman Canfield Rd
Suite D3
Boardman, OH 44512-4300

Mailing address

755 Boardman Canfield Rd
Suite D3
Boardman, OH 44512-4300
Phone (330) 729-1350

Other names 1

  • Ohio Naturopathic Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

755 Boardman Canfield Rd
Ste D3
Boardman, OH 44512
Phone (330) 729-1350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395446400000",
    "number": "1184041626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 BOARDMAN CANFIELD RD",
            "address_2": "SUITE D3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124300",
            "telephone_number": "330-729-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BOARDMAN CANFIELD RD",
            "address_2": "SUITE D3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124300",
            "telephone_number": "330-729-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO NATUROPATHIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A",
        "authorized_official_last_name": "SUZELIS",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-729-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099-0000113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Naturopathic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.