Individual provider Active NPI

Michael Anthony Golkiewicz, D,C.

  • Chiropractor
  • Stow, OH
National Provider Identifier
1366975427
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4705 Issued in OH
Practice address
4015 Darrow Rd
Suite a
Stow, OH 44224-2623
Phone
(330) 689-1234
Fax
(330) 689-1235
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4705 OH Primary

Addresses

Primary practice location

4015 Darrow Rd
Suite a
Stow, OH 44224-2623

Mailing address

4015 Darrow Rd
Suite a
Stow, OH 44224-2623
Phone (330) 689-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170525002327 OH Practitioner - Chiropractic 0941577795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Besso Clinic of Chiropractic IncGroup PAC ID 3173555604, 3 clinicians

Practice addresses (Care Compare)

4015 Darrow Rd a
Stow, OH 44224-2623
Phone (330) 689-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Besso Clinic of Chiropractic, Inc. Chiropractor CurrentSince Mar 29, 2017 Accepting new patients

Locations

4015 Darrow Rd
Ste A
Stow, OH 44224
Phone (248) 421-6243

4015 Darrow Rd
#A
Stow, OH 44224
Phone (330) 212-9700

Organizations & group practices 1

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1366975427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 DARROW RD",
            "address_2": "SUITE A",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242623",
            "telephone_number": "330-689-1234",
            "fax_number": "330-689-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 DARROW RD",
            "address_2": "SUITE A",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242623",
            "telephone_number": "330-689-1234",
            "fax_number": "330-689-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLKIEWICZ",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "D,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.