NPIMap

Organization Active NPI

Lakewood Pain Management & Chiropractic LLC

  • Chiropractor
  • Lakewood, OH
National Provider Identifier
1235292822
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKEWOOD PAIN MANAGEMENT & CHIROPRACTIC LLC
Practice address
Lakewood Pain Management & Chiropractic LLC
1451 West 117TH
Lakewood, OH 44107
Phone
(216) 529-0181
Fax
(216) 289-0191
NPI assigned
Dec 18, 2006
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Lisa Marie Hartman
Title
Office Manager
Phone
(440) 477-4863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

Lakewood Pain Management & Chiropractic LLC
1451 West 117TH
Lakewood, OH 44107

Mailing address

P.O. Box 849
Twinsburg, OH 44087
Phone (216) 289-8660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000269 OH Part B Supplier - Clinic/Group Practice 6507914231 Receives reassigned benefits from 3 practitioners
Practice locations: Lakewood, OH

National Provider Directory

National Provider Directory

Locations

1451 W 117th St
Lakewood, OH 44107
Phone (216) 529-0181

Practitioners & affiliated clinicians

Practitioners 11

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1235292822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 849",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "216-289-8660",
            "fax_number": "216-289-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKEWOOD PAIN MANAGEMENT & CHIROPRACTIC LLC",
            "address_2": "1451 WEST 117TH",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-529-0181",
            "fax_number": "216-289-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD PAIN MANAGEMENT & CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-477-4863"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.