Sandusky Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3111 Issued in OH

Legal business name

SANDUSKY WELLNESS CENTER INC

Practice address

3703 Columbus Ave
Sandusky, OH 44870-5719

Phone

(419) 625-8085

Fax

(419) 625-6004

NPI assigned

Feb 20, 2007

Last updated

Sep 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregg David Winnestaffer, D.C.NPI 1396743415

Title

President

Phone

(419) 625-8085

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandusky Medical Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 29

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.

• Gregg D Winnestaffer, DC

  • Chiropractor
  • Sandusky, OH
  • NPI 1396743415
  Medicare reassignment Care Compare group Authorized official
• Joseph Lewandowski, DPT

  • Physical Therapist
  • Beachwood, OH
  • NPI 1366983124
  Medicare reassignment Care Compare group NPD
• Nathan Phillips, DC

  • Chiropractor
  • Sandusky, OH
  • NPI 1639799299
  Medicare reassignment Care Compare group NPD
• Pamela Ann Dymond, NP-C

  • Family Nurse Practitioner
  • Fremont, OH
  • NPI 1598956864
  Medicare reassignment Care Compare group
• Jaclyn Rose Ciersezwski, FNP-C

  • Family Nurse Practitioner
  • Huron, OH
  • NPI 1346750460
  Medicare reassignment NPD
• Michael Dennis Coulter, P.T.

  • Physical Therapist
  • Perrysburg, OH
  • NPI 1104047844
  Medicare reassignment NPD
• Susan Joy Graham, M.D.

  • Family Medicine Physician
  • Bellevue, OH
  • NPI 1427274976
  Medicare reassignment NPD
• Jenna Lynn Harp, CNP

  • Primary Care Nurse Practitioner
  • Lorain, OH
  • NPI 1992330112
  Medicare reassignment NPD
• Krystal J Jones-Shephard, MSN, APRN, AGNP-C

  • Gerontology Nurse Practitioner
  • Toledo, OH
  • NPI 1447747589
  Medicare reassignment NPD
• Amy Konieczny, DPT

  • Physical Therapist
  • Maumee, OH
  • NPI 1174929343
  Medicare reassignment NPD
• Elizabeth Musolf, CPNP

  • Nurse Practitioner
  • Genoa, OH
  • NPI 1003816869
  Medicare reassignment NPD
• Samuel Jonathan Rakyta II, DPT

  • Physical Therapist
  • Hubbard, OH
  • NPI 1497984132
  Medicare reassignment NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1356486187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 COLUMBUS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705719",
            "telephone_number": "419-625-8085",
            "fax_number": "419-625-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 COLUMBUS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705719",
            "telephone_number": "419-625-8085",
            "fax_number": "419-625-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDUSKY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "WINNESTAFFER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-625-8085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2391835",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandusky Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sandusky Lions Wrestling Club (Sandusky Lions)
• Sandusky Medical & Pain Clinic
• Sandusky Orthopedic Surgeons Inc (Sandusky Orthopedics & Rheumatology)
• Sandusky Plastic Surgery Inc (Surgery Center of Sandusky)
• Sandusky Rheumatology, Inc
• Sandusky Wellness DME LLC
• McKenna Sanner, PHARMD
• Nicole Lauren Sanoba, PA-C
• Donna Jo Scalia, LPN
• Richard S Scarborough, D.O.

• Chiropractor in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.