5TH Avenue Injury Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4508 Issued in OH

Legal business name

5TH AVENUE INJURY CENTER

Practice address

1188 W 5TH Ave
Columbus, OH 43212-2501

Phone

(614) 486-3562

Fax

(614) 486-3564

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Fetty, D.CNPI 1205211489

Title

Manager

Phone

(740) 632-4069

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Arthur H Fetty, D.C

  • Chiropractor
  • Johnstown, OH
  • NPI 1205211489
  NPD (past) Authorized official
• Michael Carano

  • Chiropractor
  • Columbus, OH
  • NPI 1295064582
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1205203148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122501",
            "telephone_number": "614-486-3562",
            "fax_number": "614-486-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122501",
            "telephone_number": "614-486-3562",
            "fax_number": "614-486-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5TH AVENUE INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "FETTY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "740-632-4069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.