Cooperative Medical Health Care Corporation Professional Association

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3521 Issued in OH

Legal business name

COOPERATIVE MEDICAL HEALTH CARE CORPORATION PROFESSIONAL ASSOCIATION

Practice address

165 W. Bagley Rd.
Berea, OH 44017

Phone

(440) 826-1440

Fax

(440) 826-1126

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric Macanga, D.C.NPI 1962578013

Title

Officer

Phone

(440) 826-1440

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Macanga, DC

  • Chiropractor
  • Berea, OH
  • NPI 1962578013
  Medicare reassignment Authorized official
• Matthew R Gajkowski, D.C., D.A.C.R.B.

  • Chiropractor
  • Akron, OH
  • NPI 1972648525
  NPD (past)
• Louis G Salib, MD

  • Anesthesiology Physician
  • Warren, OH
  • NPI 1023003480
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1720260979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W. BAGLEY RD.",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "44017",
            "telephone_number": "440-826-1440",
            "fax_number": "440-826-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W. BAGLEY RD.",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "44017",
            "telephone_number": "440-826-1440",
            "fax_number": "440-826-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE MEDICAL HEALTH CARE CORPORATION PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "MACANGA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "440-826-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3521",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "3639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Yvonne Colson, LSW, MSW
• Rosiemarie S Conrad, LSW
• Abigail Cook-Sainato
• Andrea Monique Cook, ATC, CSCS
• Logan Mowder Cook, LPC
• Kerry W Copes, LPC
• Julia Dowd Corcoran, LISW
• Andrea Costello
• Rachel Cotone
• Caleb Couture, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.