Advanced Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1058 Issued in OH

Legal business name

ADVANCED CHIROPRACTIC INC

Practice address

3425 Executive Pky
Ste 120
Toledo, OH 43606-1333

Phone

(419) 535-9600

Fax

(419) 535-3891

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Ann Ratkowski, D.C.

Title

President

Phone

(419) 535-9600

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1245412972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKY.",
            "address_2": "STE. 120",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061333",
            "telephone_number": "419-535-9600",
            "fax_number": "419-535-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKY",
            "address_2": "STE 120",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061333",
            "telephone_number": "419-535-9600",
            "fax_number": "419-535-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RATKOWSKI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-535-9600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4534135",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719851",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000136442",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEATLTHCARE",
            "identifier": "01538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Chinazo Aduba, LPN
• Adult Primary Care Inc
• Ravi K Adusumilli, MD
• Advance Dental Care of Toledo
• Advanced Cardiothoracic Surgeons of Northwest Ohio, Inc.
• Advanced Foot and Ankle Physicians of NW Ohio
• Advanced Home Care of Ohio Inc
• Advantage Radiology Service LLC
• Aegis Group Practice LLC
• Kristin Aemisegger, LSW

• All providers in Toledo, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.