Active NPI
Eric Wolk
- Chiropractor
- Cleveland, OH
National Provider Identifier
1609246164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4581
- Practice address
- 1810 W 25TH St
#1
Cleveland, OH 44113-3152 - Phone
- (570) 575-5414
- NPI assigned
- Sep 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4581 | OH | Primary |
Addresses
Primary practice location
1810 W 25TH St
#1
Cleveland, OH 44113-3152
Mailing address
20 Park LN
Moreland Hills, OH 44022-2427
Phone (570) 575-5414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4581 | OH | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watertower Plaza Medical | Chiropractor | Past | Accepting new patients |
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": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1609246164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PARK LN",
"city": "MORELAND HILLS",
"state": "OH",
"postal_code": "440222427",
"telephone_number": "570-575-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 W 25TH ST",
"address_2": "#1",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133152",
"telephone_number": "570-575-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-28",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.