Individual provider Active NPI

Ronald Ray Weisel II, D.C.

  • Chiropractor
  • Hartville, OH
National Provider Identifier
1750386884
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1479 Issued in OH
Practice address
800 W Maple St Ste B
Hartville, OH 44632-9682
Phone
(330) 877-3177
Fax
(330) 877-3525
NPI assigned
Jun 15, 2005
Reactivated
Mar 27, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1479 OH Primary

Addresses

Primary practice location

800 W Maple St Ste B
Hartville, OH 44632-9682

Mailing address

800 W Maple St Ste B
Hartville, OH 44632-9682
Phone (330) 877-3177

Other identifiers 3

IdentifierTypeStateIssuer
34161580026OtherOHCARESOURCE
Q016294OtherOHHOMETOWN HEALTH PLAN
0736770MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000242 OH Practitioner - Chiropractic 4789764291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Maple St
Suite B
Hartville, OH 44632-9682
Phone (330) 877-3177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1479OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartville Health & Wellness Centre, Inc Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Joseph P. Belloni, DC, Inc. Chiropractor Past Accepting new patients

Locations

843 W Maple St
Hartville, OH 44632
Phone (330) 877-3177

800 W Maple St
Ste B
Hartville, OH 44632
Phone (330) 877-3177

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1750386884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAPLE ST STE B",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329682",
            "telephone_number": "330-877-3177",
            "fax_number": "330-877-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAPLE ST STE B",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329682",
            "telephone_number": "330-877-3177",
            "fax_number": "330-877-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISEL",
        "first_name": "RONALD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "34161580026",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN HEALTH PLAN",
            "identifier": "Q016294",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0736770",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.