Paragon Regenerative Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PARAGON REGENERATIVE MEDICINE LLC

Practice address

242 E Milltown Rd
Wooster, OH 44691-1246

Phone

(330) 345-4440

Fax

(330) 345-9335

NPI assigned

Jul 30, 2019

Last updated

Jul 30, 2019By 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

Bryce Chaffee, DCNPI 1639124837

Title

Owner

Phone

(330) 345-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Bryce A Chaffee, DC

  • Chiropractor
  • Wooster, OH
  • NPI 1639124837
  Authorized official Same address or phone

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1871147736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-4440",
            "fax_number": "330-345-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-4440",
            "fax_number": "330-345-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "CHAFFEE",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-345-4440",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CHARTER",
            "identifier": "201917200524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain Management Institute LLC
• W Howard Palmer
• Maryann Pap-Barbera, LISW
• Paragon Physical Medicine
• Paragon Physical Medicine & Wellness
• Michelle Parise, COUNSELOR TRAINEE
• Mona L Park, MS, LPCC
• Ebony Parker
• Charlotte Workman Parks
• Justin Carl Parks, MSW, LSW

• Physical Medicine & Rehabilitation Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.