Individual provider Active NPI

Ryan Patrick Markowitz, DC

  • Chiropractor
  • Lakewood, OH
National Provider Identifier
1548079403
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05421 Issued in OH
Practice address
15713 Detroit Ave
Lakewood, OH 44107-3709
Phone
(440) 575-5323
Fax
(440) 575-5323
NPI assigned
Jan 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05421 OH Primary

Addresses

Primary practice location

15713 Detroit Ave
Lakewood, OH 44107-3709

Mailing address

15713 Detroit Ave
Lakewood, OH 44107-3709
Phone (440) 575-5323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05421OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Performance Chiropractic, LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

1133 W Main St
Kent, OH 44240

15713 Detroit Ave
Lakewood, OH 44107
Phone (330) 554-4232

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1548079403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15713 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073709",
            "telephone_number": "440-575-5323",
            "fax_number": "440-575-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15713 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073709",
            "telephone_number": "440-575-5323",
            "fax_number": "440-575-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWITZ",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.