Dr Mitchell Goozdich Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR MITCHELL GOOZDICH INC

Doing business as

Goozdich Family Chiropractic

Practice address

113 N Leavitt Rd
Amherst, OH 44001-1110

Phone

(440) 985-5505

Fax

(440) 985-5507

NPI assigned

Sep 12, 2005

Last updated

Aug 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell Goozdich, DCNPI 1073508503

Title

President

Phone

(440) 985-5505

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Goozdich Family Chiropractic Doing business as

Locations

Practitioners 2

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.

• Mitchell Goozdich III, DC

  • Chiropractor
  • Amherst, OH
  • NPI 1073508503
  NPD (past) Authorized official
• Beth A Kiser, DC

  • Chiropractor
  • Lorain, OH
  • NPI 1811982341
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1720073257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011110",
            "telephone_number": "440-985-5505",
            "fax_number": "440-985-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011110",
            "telephone_number": "440-985-5505",
            "fax_number": "440-985-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MITCHELL GOOZDICH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "GOOZDICH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-985-5505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000257029",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2483825",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goozdich Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.