Organization Active NPI

Stags Family Chiropractic Corp

  • Sports Physician Chiropractor
  • Avon, OH
National Provider Identifier
1790957322
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3557 Issued in OH
Legal business name
STAGS FAMILY CHIROPRACTIC CORP
Practice address
35840 Chester Rd
Suite J
Avon, OH 44011-1240
Phone
(440) 934-2335
Fax
(440) 934-2363
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Thomas Michael Steigerwalt, D.C.NPI 1619008356
Title
Chiropractor
Phone
(440) 934-2335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 3557 OH Primary

Addresses

Primary practice location

35840 Chester Rd
Suite J
Avon, OH 44011-1240

Mailing address

35840 Chester Rd
Suite J
Avon, OH 44011-1240
Phone (440) 934-2335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050121000369 OH Part B Supplier - Clinic/Group Practice 4284683715 Receives reassigned benefits from 1 practitioner
Practice locations: Avon, OH

National Provider Directory

National Provider Directory

Locations

35840 Chester Rd
Ste J
Avon, OH 44011
Phone (440) 934-2335

2100 Center Rd
Ste K
Avon, OH 44011
Phone (440) 263-0940

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1790957322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35840 CHESTER RD",
            "address_2": "SUITE J",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111240",
            "telephone_number": "440-934-2335",
            "fax_number": "440-934-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35840 CHESTER RD",
            "address_2": "SUITE J",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111240",
            "telephone_number": "440-934-2335",
            "fax_number": "440-934-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGS FAMILY CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "STEIGERWALT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "440-934-2335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "3557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.