Individual provider Active NPI

Patrick D Weadick, DC

  • Chiropractor
  • Amelia, OH
National Provider Identifier
1215038849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1654 Issued in OH
Practice address
1739 E Ohio Pike
Ohio Pike Chiropractic Inc
Amelia, OH 45102
Phone
(513) 797-8262
Fax
(513) 797-8274
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1654 OH Primary

Addresses

Primary practice location

1739 E Ohio Pike
Ohio Pike Chiropractic Inc
Amelia, OH 45102

Mailing address

1739 E Ohio Pike
Ohio Pike Chiropractic Inc
Amelia, OH 45102
Phone (513) 797-8262

Other identifiers 1

IdentifierTypeStateIssuer
0889810MedicaidOH

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1654OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215038849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E OHIO PIKE",
            "address_2": "OHIO PIKE CHIROPRACTIC INC",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "45102",
            "telephone_number": "513-797-8262",
            "fax_number": "513-797-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E OHIO PIKE",
            "address_2": "OHIO PIKE CHIROPRACTIC INC",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "45102",
            "telephone_number": "513-797-8262",
            "fax_number": "513-797-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEADICK",
        "first_name": "PATRICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0889810",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.