Individual provider Active NPI

Matthew Douglas Hamilton, D.C.

  • Chiropractor
  • Medina, OH
National Provider Identifier
1306996178
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC.3602 Issued in OH
Practice address
155 Northland Dr
Medina, OH 44256-1534
Phone
(330) 723-1441
Fax
(330) 723-1881
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 DC.3602 OH Primary

Addresses

Primary practice location

155 Northland Dr
Medina, OH 44256-1534

Mailing address

155 Northland Dr
Medina, OH 44256-1534
Phone (330) 723-1441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000036 OH Practitioner - Chiropractic 2264460781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Potential Chiropractic, Inc.Group PAC ID 7810925336, 4 clinicians

Practice addresses (Care Compare)

155 Northland Dr
Medina, OH 44256-1534
Phone (330) 723-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC.3602OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Potential Chiropractic, Inc. Chiropractor CurrentSince Jul 1, 2005 Accepting new patients
Maximum Potential Chiropractic Westlake, LLC Chiropractor CurrentSince Jul 25, 2019 Accepting new patients

Locations

155 Northland Dr
Medina, OH 44256
Phone (330) 723-1441

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1306996178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NORTHLAND DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561534",
            "telephone_number": "330-723-1441",
            "fax_number": "330-723-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NORTHLAND DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561534",
            "telephone_number": "330-723-1441",
            "fax_number": "330-723-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC.3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.