Individual provider Active NPI

Christos A Efthimiou, D.C.

  • Orthopedic Chiropractor
  • Warren, OH
National Provider Identifier
1437202769
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
3119 Issued in OH
Practice address
8323 E Market St
Warren, OH 44484-2342
Phone
(330) 609-5533
Fax
(330) 609-5553
NPI assigned
Jan 19, 2007
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 3119 OH Primary

Addresses

Primary practice location

8323 E Market St
Warren, OH 44484-2342

Mailing address

8323 E Market St
Warren, OH 44484-2342
Phone (330) 609-5533

Other identifiers 1

IdentifierTypeStateIssuer
300024250-00OtherOHOHIO BWC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223002783 OH Practitioner - Chiropractic 8325219132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3119OHMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Pain & Rehabilitation Inc CurrentSince Jul 3, 2019 Accepting new patients
Premeir Physicians Medical Group Current Accepting new patients
Precision Physical Therapy, LLC PastSince Aug 1, 2011 Accepting new patients

Locations

8323 E Market St
Warren, OH 44484
Phone (330) 609-5533

4990 Mahoning Ave
Youngstown, OH 44515
Phone (330) 609-5533

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1437202769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842342",
            "telephone_number": "330-609-5533",
            "fax_number": "330-609-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842342",
            "telephone_number": "330-609-5533",
            "fax_number": "330-609-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTHIMIOU",
        "first_name": "CHRISTOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "3119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BWC",
            "identifier": "300024250-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.