Dr Mark a Korchok DC Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

OH 1359 Issued in OH

Legal business name

DR MARK A KORCHOK DC INC

Doing business as

Chiropractic & Sports Injury Center of Cincinnati

Practice address

11867 Mason Montgomery Rd
Cincinnati, OH 45249-4712

Phone

(513) 677-2200

Fax

(513) 677-2369

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Korchok, D.C.NPI 1760551360

Title

Chiropractic Physician

Phone

(513) 677-2200

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic & Sports Injury Center of Cincinnati Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Andrew Korchok, D.C.

  • Sports Physician Chiropractor
  • Cincinnati, OH
  • NPI 1760551360
  Medicare reassignment Care Compare group NPD Authorized official
• Vicki Lynn Dobbs, D.C.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1598834103
  Medicare reassignment Care Compare group NPD
• Richard Yost, D.C.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1285769596
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1366652679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11867 MASON MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452494712",
            "telephone_number": "513-677-2200",
            "fax_number": "513-677-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11867 MASON MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452494712",
            "telephone_number": "513-677-2200",
            "fax_number": "513-677-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK A KORCHOK DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KORCHOK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "513-677-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "OH 1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic & Sports Injury Center of Cincinnati",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Physician Chiropractor in Cincinnati, OH
• Providers in Cincinnati, 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 Apr 17, 2008; 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.