Individual provider Active NPI

Amanda Marie Baum, D.C.

  • Chiropractor
  • Akron, OH
National Provider Identifier
1669773222
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4103 Issued in OH
Practice address
3333 Massillon Rd
Suite 206
Akron, OH 44312-5981
Phone
(330) 896-2030
NPI assigned
Nov 12, 2010
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4103 OH Primary

Addresses

Primary practice location

3333 Massillon Rd
Suite 206
Akron, OH 44312-5981

Mailing address

1790 Graybill Rd
Ste 200
Uniontown, OH 44685-7993
Phone (330) 896-2030

Other identifiers 1

IdentifierTypeStateIssuer
3112670MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000270 OH Practitioner - Chiropractic 2466640669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ragon Health Center LLCGroup PAC ID 3577001080, 8 clinicians

Practice addresses (Care Compare)

3661 Arlington Rd
Uniontown, OH 44685-6909
Phone (330) 896-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ragon Health Center LLC Chiropractor CurrentSince Aug 1, 2024 Accepting new patients
Rise Chiropractic and Wellness Chiropractor PastSince Oct 1, 2023 Accepting new patients

Locations

3661 Arlington Rd
Green, OH 44685
Phone (330) 896-2030

3661 Arlington Rd
Ste 100
Green, OH 44685
Phone (330) 896-2030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1669773222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 GRAYBILL RD",
            "address_2": "STE 200",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857993",
            "telephone_number": "330-896-2030",
            "fax_number": "330-899-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MASSILLON RD",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125981",
            "telephone_number": "330-896-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3112670",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.