Jason James Robert Peisley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4181 Issued in OH

Practice address

5215 Monroe St
Suite 4
Toledo, OH 43623-3190

Phone

(419) 843-1515

NPI assigned

May 23, 2011

Sex

Male

Sole proprietor

Yes

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

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairwood Chiropractic and Rehab LLCGroup PAC ID 4587891312, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairwood Chiropractic and Rehab, LLC

  • Chiropractor
  • Toledo, OH
  • NPI 1003246133
  Medicare reassignment Care Compare group Authorized official
• Jerrold L Solomon DC Inc

  • General Practice Physician
  • Tiffin, OH
  • NPI 1992926109
  Medicare reassignment
• Fairwood Chiropractic & Physical Therapy

  • Chiropractor
  • Toledo, OH
  • NPI 1003112863
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1851684948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 MONROE ST",
            "address_2": "SUITE 4",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233190",
            "telephone_number": "419-843-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MONROE ST",
            "address_2": "SUITE 4",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233190",
            "telephone_number": "419-843-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEISLEY",
        "first_name": "JASON",
        "middle_name": "JAMES ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mateaur Peery
• Curtis Andrew Peet, LPCC
• Korey Peete Sr.
• Michael Joseph Peeters, PHARMD
• Raven Peguese
• Peko LLC
• Pekosc LLC
• Angad Pelia, MD
• Elisha E Pelland, NP
• Helen N Pellerino, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.