Organization Active NPI

Chiropractic Wellness Center of Hudson Inc

  • Independent Medical Examiner Chiropractor
  • Hudson, OH
National Provider Identifier
1396921540
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
OH2882 Issued in OH
Legal business name
CHIROPRACTIC WELLNESS CENTER OF HUDSON INC
Practice address
5111 Darrow Rd
Hudson, OH 44236-5018
Phone
(330) 656-2163
NPI assigned
Jan 18, 2008
Last updated
Jan 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Dr. Jodie S Izzo, DCNPI 1215081997
Title
Owner
Phone
(330) 656-1977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X OH2882 OH Primary

Addresses

Primary practice location

5111 Darrow Rd
Hudson, OH 44236-5018

Mailing address

5111 Darrow Rd
Hudson, OH 44236-5018
Phone (330) 656-1977

Other identifiers 1

IdentifierTypeStateIssuer
2136932MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1396921540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 DARROW RD",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365018",
            "telephone_number": "330-656-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 DARROW RD",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365018",
            "telephone_number": "330-656-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER OF HUDSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "IZZO",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-656-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "OH",
            "license": "OH2882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136932",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.