MDTD, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC3000 Issued in OH

Legal business name

MDTD, LLC

Practice address

26250 Euclid Ave
Suite 771
Euclid, OH 44132-3305

Phone

(330) 697-6833

NPI assigned

Oct 13, 2012

Organization subpart

No

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

Authorized official

Name

Gary Weinhauer

Title

Credentialing

Phone

(800) 723-1880

Specialties & licenses 1

Addresses

Other names 1

• Advanced Orthopedics & Physical Therapy, Inc. Doing business as

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

{
    "created_epoch": "1350086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350086400000",
    "number": "1669724795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE",
            "address_2": "SUITE 771",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE",
            "address_2": "SUITE 771",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323305",
            "telephone_number": "330-697-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDTD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-13",
        "last_updated": "2012-10-13",
        "status": "A",
        "authorized_official_last_name": "WEINHAUER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "800-723-1880"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Orthopedics & Physical Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charity Ann McMullen
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• Jo Ann McQuair, PA-C
• Raymond Gabriel McSeveney, RN, BSN
• Med Assist Home Health Inc
• Medcare Ohio, Inc.
• Medsource MD, Inc.
• Daniel Craig Meers, D.C.
• Eric Meister, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2012; 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.