Andrew Joseph Hospodar IV, D.C., M.S., L.AC.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC4453 Issued in OH

Practice address

1265 Boardman Canfield Rd
Boardman, OH 44512

Phone

(330) 758-9400

Fax

(330) 726-8676

NPI assigned

Sep 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Sports and Spine Institute LTDGroup PAC ID 6800792938, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ohio Sports & Spine Institute, LTD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Boardman, OH
  • NPI 1962455196
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1275933608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16844 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439204277",
            "country_code": "US",
            "telephone_number": "330-386-6500",
            "fax_number": "330-386-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8720 E Market St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842364",
            "country_code": "US",
            "telephone_number": "330-469-2519",
            "fax_number": "330-726-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSPODAR",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C., M.S., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "DC4453",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC4453",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000287",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "ACUP153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneta J Homer, MD
• Morghan Honthy, LPC
• David Hood
• Joshua Hoppe, DPT, PT
• Hospital Dental Associates Inc
• Jenna Hospodar, APRN, CPNP-PC, MSN
• Paije Hostetter, OD
• William Louis Houser Jr., M.D.
• Sarah McCulloch Howe, CNP
• Heidi Michelle Hreno-Walter, R.PH.

• Sports Physician Chiropractor in Boardman, OH
• Providers in Boardman, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.