Individual provider Active NPI

Thaddeaus Christopher Schrickel, DC

  • Chiropractor
  • Wintersville, OH
National Provider Identifier
1245231323
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1816 Issued in OH
Practice address
1562 Cadiz Rd
Wintersville, OH 43953-7630
Phone
(740) 264-6235
Fax
(740) 264-9395
NPI assigned
Aug 10, 2005
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1816 OH Primary

Addresses

Primary practice location

1562 Cadiz Rd
Wintersville, OH 43953-7630

Mailing address

1562 Cadiz Rd
Wintersville, OH 43953-7630
Phone (740) 264-6235

Other identifiers 1

IdentifierTypeStateIssuer
0298379MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722001011 OH Practitioner - Chiropractic 0840230132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1816OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wintersville Medical Group LLC CurrentSince Sep 30, 2009 Accepting new patients
Schrickel Chiropractic, Inc Chiropractor PastSince May 4, 2010 Accepting new patients

Locations

1562 Cadiz Rd
Wintersville, OH 43953
Phone (740) 264-1417

Organizations & group practices 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1245231323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 CADIZ RD",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439537630",
            "telephone_number": "740-264-6235",
            "fax_number": "740-264-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CADIZ RD",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439537630",
            "telephone_number": "740-264-6235",
            "fax_number": "740-264-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRICKEL",
        "first_name": "THADDEAUS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0298379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.