Robert Michael Secoy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1100 Issued in OH

Practice address

12573 Chillicothe Rd Ste 3
Chesterland, OH 44026-2536

Phone

(440) 729-0612

Fax

(440) 729-0613

NPI assigned

Feb 15, 2007

Last updated

May 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Louis Demicco DO IncGroup PAC ID 5092948760, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Louis Demicco DO Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Painesville, OH
  • NPI 1174948418

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Geauga Health Services, Inc.

  dba Chester Chiropractic Center

  • Chiropractor
  • Chesterland, OH
  • NPI 1154541167
  Authorized official Same address or phone
• Physicians Plus Inc

  • Physical Therapist
  • Painesville, OH
  • NPI 1528007564

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1699818880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12573 CHILLICOTHE RD STE 3",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262536",
            "telephone_number": "440-729-0612",
            "fax_number": "440-729-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12573 CHILLICOTHE RD STE 3",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262536",
            "telephone_number": "440-729-0612",
            "fax_number": "440-729-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOY",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000139586",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "34181455900",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341814559001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-00302",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OPERATING ENGINEERS",
            "identifier": "000000139586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne J Savoca-Fletcher, M.ED, NCSP, SP529
• Brad Schaffer
• Emilia Aubin Schneider
• Nicole Schryer, LPCC-S, LPAT
• Gillian Schweitzer, M.D.
• Loren Shapiro, PH.D.
• Cheryl Lynn Sharaba, R.N.
• Jazmine Lynn Sharp
• Timothy Shawn Shea
• Jack Robert Silverman, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.