Individual provider Active NPI

Laura Anne Zelasko, D.C.

  • Chiropractor
  • Cuyahoga Falls, OH
National Provider Identifier
1881740207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1718 Issued in OH
Practice address
1604 Portage TRL
Suite #3
Cuyahoga Falls, OH 44223-2122
Phone
(330) 926-9920
Fax
(330) 926-9940
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1718 OH Primary

Addresses

Primary practice location

1604 Portage TRL
Suite #3
Cuyahoga Falls, OH 44223-2122

Mailing address

1604 Portage TRL
Suite #3
Cuyahoga Falls, OH 44223-2122
Phone (330) 926-9920

Other identifiers 2

IdentifierTypeStateIssuer
0987562MedicaidOH
34184213500OtherOHWORKERS COMPENSATION NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000815 OH Practitioner - Chiropractic 6204951601 Practice locations: Stow, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4496 Darrow Rd
Stow, OH 44224-1886
Phone (330) 926-9920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1718OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881740207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PORTAGE TRL",
            "address_2": "SUITE #3",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232122",
            "telephone_number": "330-926-9920",
            "fax_number": "330-926-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 PORTAGE TRL",
            "address_2": "SUITE #3",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232122",
            "telephone_number": "330-926-9920",
            "fax_number": "330-926-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELASKO",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987562",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION NUMB",
            "identifier": "34184213500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.