Individual provider Active NPI

Marc Varckette, CH

  • Chiropractor
  • Worthington, OH
National Provider Identifier
1689762726
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3044 Issued in OH
Practice address
5701 N High St
Suite 110
Worthington, OH 43085-3960
Phone
(614) 847-9526
Fax
(614) 847-1348
NPI assigned
Oct 11, 2006
Last updated
Jul 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3044 OH Primary

Addresses

Primary practice location

5701 N High St
Suite 110
Worthington, OH 43085-3960

Mailing address

870 High Street
Suite 104
Worthington, OH 43085-4141
Phone (614) 888-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000308 OH Practitioner - Chiropractic 6507875341 Receives reassigned benefits from 1 practitioner
Practice locations: Worthington, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

870 High St
Suite 104
Worthington, OH 43085-4141
Phone (614) 888-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3044OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Laura V Skaates DC Inc Chiropractor Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1689762726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HIGH STREET",
            "address_2": "SUITE 104",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854141",
            "telephone_number": "614-888-2225",
            "fax_number": "614-847-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 N HIGH ST",
            "address_2": "SUITE 110",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853960",
            "telephone_number": "614-847-9526",
            "fax_number": "614-847-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARCKETTE",
        "first_name": "MARC",
        "credential": "CH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.