Individual provider Active NPI

Jon Edward Wronko, D.C.

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1710084850
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OH 2616 Issued in OH
Practice address
16806 Lorain Ave
Cleveland, OH 44111-5509
Phone
(216) 251-9585
Fax
(216) 251-9064
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OH 2616 OH Primary

Addresses

Primary practice location

16806 Lorain Ave
Cleveland, OH 44111-5509

Mailing address

16806 Lorain Ave
Cleveland, OH 44111-5509
Phone (216) 251-9585

Other identifiers 1

IdentifierTypeStateIssuer
2166356MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000319 OH Practitioner - Chiropractic 9739267352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16806 Lorain Ave
Cleveland, OH 44111-5509
Phone (216) 251-9585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH 2616OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kamms Corners Chiropractic, Inc. Chiropractor CurrentSince Apr 10, 2000 Accepting new patients

Locations

16806 Lorain Ave
Cleveland, OH 44111
Phone (216) 251-9585

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1710084850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16806 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115509",
            "telephone_number": "216-251-9585",
            "fax_number": "216-251-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16806 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115509",
            "telephone_number": "216-251-9585",
            "fax_number": "216-251-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRONKO",
        "first_name": "JON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH 2616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166356",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.