George David Berki II, D.C.
Individual provider Active NPI Chiropractor · Avon, OH
NPI 1508949264 · NPPES record last updated Apr 16, 2020
Key facts
- NPI
- 1508949264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2086 (OH)
- Practice address
- 36490 Detroit Rd
Avon, OH 44011-1590 - Phone
- (440) 934-2333
- Fax
- (440) 934-2344
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
36490 Detroit Rd
Avon, OH 44011-1590
Phone (440) 934-2333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120417000866 | OH | Practitioner - Chiropractic | 8628239738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2086 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George D. Berki D.C., Inc. | Chiropractor | Current |
Accepting new patients |
Locations
36490 Detroit Rd
Avon, OH 44011
Phone (440) 934-2333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2086 | OH | Yes |
Addresses
Primary practice location
36490 Detroit Rd
Avon, OH 44011-1590
Mailing address
2403 Muirwood Rd
Avon, OH 44011-4735
Phone (440) 934-8416
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0989239 | Medicaid | OH |
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2020. 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.