Advanced Spine Joint and Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED SPINE JOINT AND WELLNESS CENTER

Practice address

5020 Victor Dr
Medina, OH 44256-9688

Phone

(330) 433-4243

Fax

(330) 721-6508

NPI assigned

Jan 29, 2013

Last updated

Nov 3, 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. Brandon Bupp, D.C.NPI 1902949423

Title

Partner

Phone

(330) 336-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 16

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.

• Jordan Michael Rutz, D.C.

  • Nutrition Chiropractor
  • Cuyahoga Falls, OH
  • NPI 1679938559
  Medicare reassignment Care Compare group NPD
• Cory Sieniawski

  • Chiropractor
  • Medina, OH
  • NPI 1114481520
  Medicare reassignment Care Compare group NPD
• Edwin Pierre Vines, MSPT

  • Physical Therapist
  • Fairlawn, OH
  • NPI 1780892091
  Medicare reassignment Care Compare group NPD
• Jill S Vidrine, PA-C

  • Physician Assistant
  • Mansfield, OH
  • NPI 1114200565
  Medicare reassignment Care Compare group
• Tricia N Bedrick, D.O.

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1043223860
  Medicare reassignment NPD
• Lilli Benck, DC

  • Chiropractor
  • Warrensville Heights, OH
  • NPI 1396215265
  Medicare reassignment NPD
• Rufus Wayne Jessup-Savage, CNP

  • Family Nurse Practitioner
  • Cuyahoga Falls, OH
  • NPI 1134649379
  Medicare reassignment NPD
• John Kocka, M.D

  • Family Medicine Physician
  • Brecksville, OH
  • NPI 1326124223
  Medicare reassignment NPD
• Matthew Paul Meehan, D.C.

  • Chiropractor
  • Brooklyn, OH
  • NPI 1225333933
  Medicare reassignment NPD
• Brad Matthew Picha, MD

  • Orthopaedic Surgery Physician
  • Independence, OH
  • NPI 1811020936
  Medicare reassignment NPD
• William Steiger, APRN

  • Family Nurse Practitioner
  • Akron, OH
  • NPI 1750099370
  Medicare reassignment NPD
• James C Yanke, C.N.P.

  • Nurse Practitioner
  • Brecksville, OH
  • NPI 1750791653
  Medicare reassignment NPD

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1376881144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 VICTOR DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569688",
            "telephone_number": "330-433-4243",
            "fax_number": "330-721-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 VICTOR DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569688",
            "telephone_number": "330-433-4243",
            "fax_number": "330-721-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE JOINT AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "BUPP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-336-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Jocelyn Adaway
• Allison Adkins, QMHS
• Amber Adkins, LSW
• Kamala Sundari Adury, M.D.
• Advanced Rehab Services
• Advanced Spine Joint and Wellness Center
• Comfort Agundu
• Ahf Ohio Inc. (Samaritan Villa)
• Ahf Ohio, Inc. (Samaritan Care Center and VIlla)
• Akron Renal Care Group, LLC (Fresenius kidney Care of Medina)

• Family Medicine Physician in Medina, OH
• Providers in Medina, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.