Matthew Stasek DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4194 Issued in OH

Legal business name

MATTHEW STASEK DC LLC

Practice address

1100 W Royalton Rd
Broadview Heights, OH 44147-3946

Phone

(440) 230-1113

Fax

(440) 230-5314

NPI assigned

Jun 12, 2012

Last updated

May 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew John Stasek, DCNPI 1689956518

Title

Owner

Phone

(216) 559-0078

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew John Stasek, D.C.

  • Independent Medical Examiner Chiropractor
  • Broadview Heights, OH
  • NPI 1689956518
  NPD (past) Authorized official
• Ethan Benjamin Shim, DC

  • Chiropractor
  • Broadview Heights, OH
  • NPI 1073405551
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1841552205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473946",
            "telephone_number": "440-230-1113",
            "fax_number": "440-230-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473946",
            "telephone_number": "440-230-1113",
            "fax_number": "440-230-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW STASEK DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "STASEK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-559-0078",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a. Lang, M.D., LLC
• Jean Marie Martello
• Paul Martin, DO
• Marymount Primary Care Services, Inc.
• Alisha Matt, COTA/L
• Ronald Douglas Matthews, D.D.S.
• Anna Lazetta McClelland, SLP
• Mallory Lynn McCormick, OD
• Janice Ann McFadden, CRNA
• David Eugene McNair, NP

• Chiropractor in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.