Individual provider Active NPI

Staush Oak Cass, DC

  • Chiropractor
  • Millersburg, OH
National Provider Identifier
1215925383
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1969 Issued in OH
Practice address
1245 Glen Dr
Millersburg, OH 44654-8958
Phone
(330) 674-0444
Fax
(330) 674-0802
NPI assigned
Oct 12, 2005
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1969 OH Primary

Addresses

Primary practice location

1245 Glen Dr
Millersburg, OH 44654-8958

Mailing address

1245 Glen Dr
Millersburg, OH 44654-8958
Phone (330) 674-0444

Other identifiers 1

IdentifierTypeStateIssuer
0937188MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000818 OH Practitioner - Chiropractic 2668451162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holmes Spine and Sport Chiropractic Clinic Inc.Group PAC ID 4587643085, 2 clinicians

Practice addresses (Care Compare)

1245 Glen Dr
Millersburg, OH 44654-8958
Phone (330) 674-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1969OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greene Chiropractic Center, LLC Chiropractor PastSince Apr 1, 2014 Accepting new patients
Greene Chiropractic Center, LLC Chiropractor PastSince Sep 11, 1994 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1215925383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 GLEN DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548958",
            "telephone_number": "330-674-0444",
            "fax_number": "330-674-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 GLEN DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548958",
            "telephone_number": "330-674-0444",
            "fax_number": "330-674-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASS",
        "first_name": "STAUSH",
        "middle_name": "OAK",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0937188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.