Organization Active NPI

Holistic Surgical Associates, Inc.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Lima, OH
National Provider Identifier
1639273121
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
203808853 Issued in OH
Legal business name
HOLISTIC SURGICAL ASSOCIATES, INC.
Practice address
545 W Market St
Suite 306
Lima, OH 45801-4717
Phone
(419) 331-2225
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Christopher F Lucchese, D.O.
Title
Managing Member
Phone
(419) 331-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 203808853 OH Primary

Addresses

Primary practice location

545 W Market St
Suite 306
Lima, OH 45801-4717

Mailing address

545 W Market St
Suite 306
Lima, OH 45801-4717
Phone (419) 331-2225

Other identifiers 1

IdentifierTypeStateIssuer
1346387123OtherNP NPI

Other names 1

  • Back Pain Solutions of Northwest Ohio Doing business as

National Provider Directory

National Provider Directory

Locations

770 W High St
Ste 306
Lima, OH 45801

545 W Market St
Ste 306
Lima, OH 45801
Phone (419) 331-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1639273121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W MARKET ST",
            "address_2": "SUITE 306",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014717",
            "telephone_number": "419-331-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W MARKET ST",
            "address_2": "SUITE 306",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014717",
            "telephone_number": "419-331-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "LUCCHESE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "419-331-2225",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OH",
            "license": "203808853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP NPI",
            "identifier": "1346387123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Solutions of Northwest Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.