Herceg Chiropractic and Wellness Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4108 Issued in OH

Legal business name

HERCEG CHIROPRACTIC AND WELLNESS CENTER INC.

Practice address

3570 Executive Dr Ste 211
Uniontown, OH 44685-8712

Phone

(330) 563-4383

Fax

(330) 563-4874

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Justin Ryan Herceg, DCNPI 1578872826

Title

Chiropractic Physician

Phone

(330) 563-4383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Ryan Herceg, DC

  • Chiropractor
  • Uniontown, OH
  • NPI 1578872826
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1457691834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CORSHAM CIRCLE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44312",
            "telephone_number": "740-632-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR STE 211",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858712",
            "telephone_number": "330-563-4383",
            "fax_number": "330-563-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERCEG CHIROPRACTIC AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "HERCEG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "330-563-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Green Lifestyle Center of Town Park, LLC
• Kimberly L Heasley, PT
• Blossom Marimpietri Heindel, DO
• Gary Joseph Heller, RN
• David Hench
• Justin Ryan Herceg, DC
• Abbey Higginbotham, M.A. CF-SLP
• Courtney Higley
• Crystal D Hiner, PCCS/ LICDC
• Meredith Holdsworth

• Chiropractor in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.