Eric Derusha, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

ED007362 Issued in FM

Legal business name

ERIC DERUSHA, D.C., P.C.

Doing business as

Paint Creek Chiropractic Center

Practice address

528 N Main St
Suite a
Rochester, MI 48307-1457

Phone

(248) 601-4540

Fax

(248) 601-4542

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric D Derusha, D.C.NPI 1851452940

Title

President

Phone

(248) 601-4540

Specialties & licenses 1

Addresses

Other names 1

• PAINT CREEK CHIROPRACTIC CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Eric Donald Derusha, D.C.

  • Chiropractor
  • Rochester, MI
  • NPI 1851452940
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1871655290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 N MAIN ST",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071457",
            "telephone_number": "248-601-4540",
            "fax_number": "248-601-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N MAIN ST",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071457",
            "telephone_number": "248-601-4540",
            "fax_number": "248-601-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC DERUSHA, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "DERUSHA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-601-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FM",
            "license": "ED007362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAINT CREEK CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Matthew Eggert, M.D.
• Rachel Ellis
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• Eon Therapy (Eon Therapy Rochester Hills Therapy)
• Yashar Eshman, MD
• Sridhar Etikala
• Issa John Fakhouri
• Sayeeda Fatima, M.D.
• Shirley C Faust, PHD

• Chiropractor in Rochester, MI
• Providers in Rochester, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.