Individual provider Active NPI

Michael A Shimmel, DC

  • Chiropractor
  • Stow, OH
National Provider Identifier
1508843574
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1246 Issued in OH
Practice address
2991 Graham Rd
Stow, OH 44224-3619
Phone
(330) 686-1333
Fax
(330) 686-9275
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1246 OH Primary

Addresses

Primary practice location

2991 Graham Rd
Stow, OH 44224-3619

Mailing address

2991 Graham Rd
Stow, OH 44224-3619
Phone (330) 686-1333

Other identifiers 1

IdentifierTypeStateIssuer
0641425MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000725 OH Practitioner - Chiropractic 0446228183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2991 Graham Rd
Stow, OH 44224-3619
Phone (330) 686-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1246OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stow-Kent Chiropractic Clinic, Inc. Chiropractor CurrentSince Mar 10, 2003 Accepting new patients

Locations

2991 Graham Rd
Stow, OH 44224
Phone (216) 686-1333

Organizations & group practices 1

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508843574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243619",
            "telephone_number": "330-686-1333",
            "fax_number": "330-686-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243619",
            "telephone_number": "330-686-1333",
            "fax_number": "330-686-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMMEL",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0641425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.