Middleburg Heights Chiropractic Office, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1139 Issued in OH

Legal business name

MIDDLEBURG HEIGHTS CHIROPRACTIC OFFICE, INC.

Practice address

15350 Bagley Rd
Cleveland, OH 44130-4824

Phone

(440) 866-4990

Fax

(440) 866-1288

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roy A Golsch, D.C.NPI 1881649788

Title

D.C.

Phone

(440) 886-4990

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Roy A Golsch, DC

  • Chiropractor
  • Cleveland, OH
  • NPI 1881649788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1558408955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40450",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441400450",
            "telephone_number": "440-871-4700",
            "fax_number": "440-871-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304824",
            "telephone_number": "440-866-4990",
            "fax_number": "440-866-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG HEIGHTS CHIROPRACTIC OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "GOLSCH",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "440-886-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keva Mickey
• Lauren Mickey
• Liliana Mickey, CNP
• Sarah Micklewright, PA-C
• Middle Ridge Inc.
• Middleburg Radiology Associates, Inc.
• Middleburg-Legacy Place, LLC
• Derek Leroy Middleton Jr.
• Aisha Midgett
• Andrew Kempe Midgley, CAA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.