Stephan M Mavissakalian, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3666 Issued in OH

Practice address

708 E Wilbeth Rd
Akron, OH 44306-3445

Phone

(330) 773-7400

NPI assigned

Jul 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopedics and Physical Therapy, Inc.Group PAC ID 6204096050, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Orthopedics and Physical Therapy, Inc.

  • Orthopedic Chiropractor
  • Warrensville Heights, OH
  • NPI 1801185962
  Medicare reassignment Care Compare group NPD
• Back 2 Health of the Ohio Valley Inc

  • Chiropractor
  • East Liverpool, OH
  • NPI 1609986561
  NPD
• United Accident & Injury Center, Inc.

  • Chiropractor
  • Akron, OH
  • NPI 1558981894
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1588854228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E WILBETH RD",
            "address_2": "APT 4",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063445",
            "telephone_number": "330-773-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E WILBETH RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063445",
            "telephone_number": "330-773-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVISSAKALIAN",
        "first_name": "STEPHAN",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Matusicky
• Regina Marie Matyi, BA PSYCHOLOGY
• Tyneisha Maull
• Krista Maust
• Maven Care LLC
• Charlene A Maxen, C.N.P.
• Julia Morgan Maxey
• Maxwell Medical Supplies and Healthcare
• Andreya Elizabeth Maxwell
• Catherine S Maxwell, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.