Active NPI
Jason A Hollabaugh, D.C.
- Chiropractor
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4296
- Practice address
- 7098 Lockwood Blvd Ste 7106
Boardman, OH 44512-4064 - Phone
- (330) 953-1858
- Fax
- (330) 954-0789
- NPI assigned
- Sep 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AJ010434 | PA | |
| Chiropractor | 111N00000X | DC010641 | PA | |
| Chiropractor | 111N00000X | 4296 | OH | Primary |
Addresses
Primary practice location
7098 Lockwood Blvd Ste 7106
Boardman, OH 44512-4064
Mailing address
7098 Lockwood Blvd Ste 7106
Youngstown, OH 44512-4064
Phone (330) 507-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098380 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7098 Lockwood Blvd
Suite 7106
Youngstown, OH 44512-4064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4296 | OH | MD | Chiropractor |
| AJ010434 | PA | MD | Chiropractor |
| DC010641 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jason a. Hollabaugh D.C. LLC | Chiropractor | Current | Accepting new patients |
| Jason a Hollabaugh,DC LLC | Chiropractor | Current | Accepting new patients |
Locations
7098 Lockwood Blvd
Ste 7106
Youngstown, OH 44512
Phone (330) 953-1858
7098 Lockwood Blvd
#7106
Youngstown, OH 44512
Phone (330) 953-1858
1040 S Commons Pl
Ste 101
Youngstown, OH 44514
Phone (330) 726-9962
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Warren, OH
- NPI 1144516790
Organizations & group practices 2
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.
-
- Chiropractor
- Youngstown, OH
- NPI 1679975924
-
- Chiropractor
- Youngstown, OH
- NPI 1447680046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1669721692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7098 LOCKWOOD BLVD STE 7106",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445124064",
"telephone_number": "330-507-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7098 LOCKWOOD BLVD STE 7106",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124064",
"telephone_number": "330-953-1858",
"fax_number": "330-954-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLABAUGH",
"first_name": "JASON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "AJ010434",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010641",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098380",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.