Southside Wellness Center LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHSIDE WELLNESS CENTER LTD

Practice address

7664 Broadview Rd
Parma, OH 44134-6746

Phone

(440) 840-7419

NPI assigned

Apr 2, 2021

Last updated

Apr 30, 2021By 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

Shoshana Sevel Loerch, DCNPI 1992049985

Title

Owner/ Chiropractor

Phone

(440) 840-7419

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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.

• Shoshana S Loerch, DC

  • Rehabilitation Chiropractor
  • Parma, OH
  • NPI 1992049985
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1235718776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346746",
            "telephone_number": "440-840-7419",
            "fax_number": "440-628-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346746",
            "telephone_number": "440-840-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "LOERCH",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_middle_name": "SEVEL",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "440-840-7419",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1992049985",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yong J Song
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• Morgan Southam, RN
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• Southwest Orthopaedics, Inc.
• Southwest Orthopaedics, Inc.

• Clinic/Center in Parma, OH
• Providers in Parma, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.