NPIMap

Organization Active NPI

Jefferson Park Spine Specialists, LLC

Doing business as Medina Sports and Family Chiropractic

  • Clinic/Center
  • Cuyahoga Falls, OH
National Provider Identifier
1346487170
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JEFFERSON PARK SPINE SPECIALISTS, LLC
Doing business as
Medina Sports and Family Chiropractic
Practice address
748 Graham Rd
Cuyahoga Falls, OH 44221-1042
Phone
(330) 920-1681
Fax
(330) 920-1669
NPI assigned
Jan 15, 2009
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JEFFERSON PARK SPINE SPECIALIST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Dr. Ryan Patrick Meehan, DCNPI 1700292661
Title
Owner/ Provider
Phone
(330) 920-1681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

748 Graham Rd
Cuyahoga Falls, OH 44221-1042

Mailing address

748 Graham Rd
Cuyahoga Falls, OH 44221-1042
Phone (330) 920-1681

Other identifiers 2

IdentifierTypeStateIssuer
2353528MedicaidOH
0189203MedicaidOH

Other names 1

  • MEDINA SPORTS AND FAMILY CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory
Part of
Jefferson Park Spine Specialists LLC

Locations

3731 Stonegate Dr
Medina, OH 44256
Phone (330) 903-0498

5035 Beach Rd
Ste C
Medina, OH 44256
Phone (330) 903-0498

17900 Jefferson Park Rd
Ste 101
Middleburg Heights, OH 44130
Phone (440) 879-8440

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1346487170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211042",
            "telephone_number": "330-920-1681",
            "fax_number": "330-920-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211042",
            "telephone_number": "330-920-1681",
            "fax_number": "330-920-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PARK SPINE SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON PARK SPINE SPECIALIST, LLC",
        "enumeration_date": "2009-01-15",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "330-920-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353528",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDINA SPORTS AND FAMILY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.