Ronald Angelo House II, DC
Individual provider Active NPI Chiropractor · Wayland, MI
NPI 1447223995 · NPPES record last updated Oct 17, 2011
Key facts
- NPI
- 1447223995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- RH007970 (MI)
- Practice address
- 135 E Superior St
Wayland, MI 49348 - Phone
- (269) 792-9952
- Fax
- (269) 792-6459
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Full Potential Chiropractic, PC
Practice addresses (Care Compare)
135 E Superior St
Wayland, MI 49348-1137
Phone (269) 792-9952
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120305000020 | MI | Practitioner - Chiropractic | 4880853274 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RH007970 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Life Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Full Potential Chiropractic, PC | Chiropractor | Current |
Accepting new patients |
| Healthy Choice Family Chiropractic, LLC | Chiropractor | Past |
Accepting new patients |
Locations
135 E Superior St
Wayland, MI 49348
Phone (269) 792-9952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | RH007970 | MI | Yes |
Addresses
Primary practice location
135 E Superior St
Wayland, MI 49348
Mailing address
135 E Superior St
Wayland, MI 49348
Phone (269) 792-9952
Other providers in Wayland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.