Nick George Koinoglou, D.C., FIAMA, DIPL AC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1798 Issued in OH

Practice address

2565 S Union Ave
Alliance, OH 44601-5058

Phone

(330) 821-4455

Fax

(330) 821-4504

NPI assigned

Aug 2, 2006

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 14

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Physical Medicine LLCGroup PAC ID 1456597376, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Family Health Physical Medicine LLC

  • Sports Medicine (Family Medicine) Physician
  • Alliance, OH
  • NPI 1245572866
  Medicare reassignment Care Compare group NPD Authorized official
• Paragon Heart Group, Inc

  • Cardiovascular Disease Physician
  • Alliance, OH
  • NPI 1932372398
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1720095839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015058",
            "telephone_number": "330-821-4455",
            "fax_number": "330-821-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015058",
            "telephone_number": "330-821-4455",
            "fax_number": "330-821-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOINOGLOU",
        "first_name": "NICK",
        "middle_name": "GEORGE",
        "credential": "D.C., FIAMA, DIPL AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34179785200",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364409",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4643272",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "733297",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000176741",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886297",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "341797852T",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN ID",
            "identifier": "IDP1817694",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP PIN",
            "identifier": "1066011",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000139080",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "721624",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF WESTERN PA",
            "identifier": "721624",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341797852027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350050794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmyne Nichole Kirksey
• Shirley Kirksey
• Doris Kiser
• Katie Michele Kocher, MA, PCC
• Wyatt Kohl
• Jason T. Kolb, M.D.
• Thomas A Krupko, MD
• Tyler Daniel Kubina, DPM
• Duane C Kuentz, MD
• Rachel L Kuhn, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.