Individual provider Active NPI

Thomas Matthew Ormsby, D.C.

  • Chiropractor
  • Brunswick, OH
National Provider Identifier
1427168384
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3350 Issued in OH
Practice address
1659 Pearl Rd
Brunswick, OH 44212-3405
Phone
(330) 220-6111
Fax
(330) 220-6115
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3350 OH Primary

Addresses

Primary practice location

1659 Pearl Rd
Brunswick, OH 44212-3405

Mailing address

1659 Pearl Rd
Brunswick, OH 44212-3405
Phone (330) 220-6111

Other identifiers 4

IdentifierTypeStateIssuer
06-1819339OtherOHNEW TAX ID
65-1193513OtherOHTAX ID
000000383514OtherOHANTHEM BC/BS
2415050MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000252 OH Practitioner - Chiropractic 9638126881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1659 Pearl Rd
Brunswick, OH 44212-3405
Phone (330) 220-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Enterprises Inc. CurrentSince Aug 1, 2007 Accepting new patients
Healthquest of Avon, Inc. Chiropractor PastSince Aug 1, 2007 Accepting new patients

Locations

1659 Pearl Rd
Brunswick, OH 44212
Phone (330) 220-6111

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1427168384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123405",
            "telephone_number": "330-220-6111",
            "fax_number": "330-220-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123405",
            "telephone_number": "330-220-6111",
            "fax_number": "330-220-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMSBY",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW TAX ID",
            "identifier": "06-1819339",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "65-1193513",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000383514",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.