Phillip B. Doudna, B.S., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1397 Issued in OH

Practice address

4305 Broadway
Grove City, OH 43123-3017

Phone

(614) 875-1121

Fax

(614) 875-1111

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Phillip B. Doudna, D.C., LLC

  • Clinic/Center
  • Grove City, OH
  • NPI 1033395439
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346265493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233017",
            "telephone_number": "614-875-1121",
            "fax_number": "614-875-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233017",
            "telephone_number": "614-875-1121",
            "fax_number": "614-875-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUDNA",
        "first_name": "PHILLIP",
        "middle_name": "B.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "31-1278375-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eula Ann Doering, APRN-CNP
• Kerry John Dolch, LPN
• Dominion Home Health Agency
• Mariea D Dotson, LPN
• Daniel D. Doudna, B.S., D.C.
• Jessica Leigh Draime, DPT
• Drayer Physical Therapy Institute LLC
• Driven Transportation LLC
• Justin Thomas Drummond, M.D.
• John J Dubos, DDS

• Chiropractor in Grove City, OH
• Providers in Grove City, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.