NPIMap

Organization Active NPI

Mid States Chiropractic of Euclid Road Health Care

  • Chiropractor
  • Willoughby, OH
National Provider Identifier
1881635829
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1689 Issued in OH
Legal business name
MID STATES CHIROPRACTIC OF EUCLID ROAD HEALTH CARE
Practice address
34302 Euclid Ave
Suite #6
Willoughby, OH 44094-3334
Phone
(440) 975-1777
Fax
(440) 975-1770
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Robert Cohen, D.C.
Title
Member
Phone
(440) 975-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1689 OH Primary

Addresses

Primary practice location

34302 Euclid Ave
Suite #6
Willoughby, OH 44094-3334

Mailing address

34302 Euclid Ave
Suite #6
Willoughby, OH 44094-3334
Phone (440) 975-1777

National Provider Directory

National Provider Directory

Locations

34302 Euclid Ave
Unit 6
Willoughby, OH 44094
Phone (440) 975-1777

Practitioners & affiliated clinicians

Practitioners 7

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1881635829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34302 EUCLID AVE",
            "address_2": "SUITE #6",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943334",
            "telephone_number": "440-975-1777",
            "fax_number": "440-975-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34302 EUCLID AVE",
            "address_2": "SUITE #6",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943334",
            "telephone_number": "440-975-1777",
            "fax_number": "440-975-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID STATES CHIROPRACTIC OF EUCLID ROAD HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-975-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.