Mark Jerome Kreusch, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3097 Issued in OH

Practice address

5 Jefferson St
Englewood, OH 45322-1264

Phone

(937) 836-3313

Fax

(937) 836-9693

NPI assigned

Oct 16, 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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

May accept Medicare assignment

Group practices

David M Kreusch DC CorpGroup PAC ID 9739112665, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David M Kreusch DC Corp

  dba Kreusch Chiropractic

  • Chiropractor
  • Englewood, OH
  • NPI 1508953548
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770663528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 BITTERSWEET DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453739319",
            "telephone_number": "937-524-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JEFFERSON ST",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221264",
            "telephone_number": "937-836-3313",
            "fax_number": "937-836-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUSCH",
        "first_name": "MARK",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaniska Kirklin-Thomas, CNP
• KMT Therapy and Rehabilitation LLC
• Susan Marie Knapke, RDN, LD
• Angela Knipfer, LMT
• David Michael Kreusch, D.C.
• Kroger Limited Partnership I (Kroger Pharmacy)
• Thomas J Kroner
• Krown Solutions LLC (Blossom In Care)
• Zukhra Kuchiyeva
• Ira Kushnir, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.