Individual provider Active NPI

John A Kostoglou, DC

  • Chiropractor
  • Parma, OH
National Provider Identifier
1235203019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1473 Issued in OH
Practice address
6900 Ridge Road
Suite 202
Parma, OH 44129
Phone
(440) 888-4526
Fax
(440) 888-9102
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 DC1473 OH Primary

Addresses

Primary practice location

6900 Ridge Road
Suite 202
Parma, OH 44129

Mailing address

6900 Ridge Road
Suite 202
Parma, OH 44129
Phone (440) 888-4526

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC1473OHMDChiropractor
1473OHMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Group CurrentSince Oct 26, 2016 Accepting new patients
MJJD Spine Group, LTD Current Accepting new patients
Evergreen Pain Management & Rehabilitation LTD CurrentSince Oct 23, 1997 Accepting new patients
Parmatown Physical Therapy Past Accepting new patients
Parmatown Spinal Rehabilitation Center Inc Chiropractor Past Accepting new patients
Cleveland Back & Pain Management Center Inc. PastSince Feb 26, 2016 Accepting new patients

Locations

2322 E 22nd St
Ste 302
Cleveland, OH 44115
Phone (216) 621-5000

2173 N Ridge Rd E
Ste J
Lorain, OH 44055
Phone (440) 240-9111

6800 Ridge Rd
Parma, OH 44129
Phone (440) 842-1744

6900 Ridge Rd
Ste 102
Parma, OH 44129
Phone (440) 882-6382

6900 Ridge Rd
Ste 201
Parma, OH 44129
Phone (440) 888-4526

6900 Ridge Rd
Ste 202
Parma, OH 44129
Phone (440) 887-1100

Organizations & group practices 6

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235203019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RIDGE ROAD",
            "address_2": "SUITE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "440-888-4526",
            "fax_number": "440-888-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 RIDGE ROAD",
            "address_2": "SUITE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "440-888-4526",
            "fax_number": "440-888-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOGLOU",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, 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.