Individual provider Active NPI

Geoffrey Albert Poyle, D.C.

  • Rehabilitation Chiropractor
  • Sheffield Village, OH
National Provider Identifier
1730245127
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2200 Issued in OH
Practice address
5395 N Abbe Rd
Sheffield Village, OH 44035-1449
Phone
(440) 934-2273
Fax
(440) 934-0082
NPI assigned
Dec 29, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2200 OH Primary

Addresses

Primary practice location

5395 N Abbe Rd
Sheffield Village, OH 44035-1449

Mailing address

5395 N Abbe Rd
Sheffield Village, OH 44035-1449
Phone (440) 934-2273

Other identifiers 1

IdentifierTypeStateIssuer
0144678MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000237 OH Practitioner - Chiropractic 8123286309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5395 N Abbe Rd
Sheffield Village, OH 44035-1449

5425 Detroit Rd
Suite 12
Sheffield Village, OH 44054-3031
Phone (440) 934-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2200OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Concepts of Avon Lake Inc CurrentSince Jun 13, 1995 Accepting new patients
Chiropractic Concepts Inc. CurrentSince Sep 3, 1996 Accepting new patients

Locations

32730 Walker Rd
Ste F3
Avon Lake, OH 44012
Phone (216) 933-7894

5395 N Abbe Rd
Sheffield Village, OH 44035
Phone (440) 934-2273

5425 Detroit Rd
Ste 12
Sheffield Village, OH 44054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1730245127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 N ABBE RD",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351449",
            "telephone_number": "440-934-2273",
            "fax_number": "440-934-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 N ABBE RD",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351449",
            "telephone_number": "440-934-2273",
            "fax_number": "440-934-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYLE",
        "first_name": "GEOFFREY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "2200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144678",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.