Individual provider Active NPI

Ronald Michael Sherrod, D.C.

  • Chiropractor
  • Elyria, OH
National Provider Identifier
1497936819
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4024 Issued in OH
Practice address
230 Market Dr
Elyria, OH 44035-2886
Phone
(440) 324-9000
Fax
(440) 324-2849
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27169 CA
Chiropractor 111N00000X 4024 OH Primary

Addresses

Primary practice location

230 Market Dr
Elyria, OH 44035-2886

Mailing address

1599 W River Rd N
Elyria, OH 44035-2779
Phone (440) 324-9000

Other identifiers 1

IdentifierTypeStateIssuer
3043496MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27169CAMDClinical Social Worker
DC27169CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Placer Spine and Body Inc PastSince Jan 10, 2009 Accepting new patients
Placer Chripractic Chiropractor Past Accepting new patients
Ohio Spine and Body Inc PastSince Apr 3, 2013 Accepting new patients

Organizations & group practices 3

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1497936819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 W RIVER RD N",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352779",
            "telephone_number": "440-324-9000",
            "fax_number": "440-324-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MARKET DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352886",
            "telephone_number": "440-324-9000",
            "fax_number": "440-324-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROD",
        "first_name": "RONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27169",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.