Individual provider Active NPI

Marcus Scott Nitschke, DC

  • Chiropractor
  • Osgood, OH
National Provider Identifier
1902510290
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05223 Issued in OH
Practice address
124 W Main St
Osgood, OH 45351-1021
Phone
(419) 582-6011
Fax
(419) 582-6012
NPI assigned
Jan 11, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 05223 OH Primary

Addresses

Primary practice location

124 W Main St
Osgood, OH 45351-1021

Mailing address

124 W Main St
Osgood, OH 45351-1021
Phone (419) 582-6011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310001757 OH Practitioner - Chiropractic 5698148757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Huffer Chiropractic, Inc.Group PAC ID 2062410863, 5 clinicians

Practice addresses (Care Compare)

307 S Main St
Jackson Center, OH 45334-5073
Phone (937) 596-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05223OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huffer Chiropractic, Inc. Chiropractor CurrentSince Feb 17, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1902510290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W MAIN ST",
            "city": "OSGOOD",
            "state": "OH",
            "postal_code": "453511021",
            "telephone_number": "419-582-6011",
            "fax_number": "419-582-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W MAIN ST",
            "city": "OSGOOD",
            "state": "OH",
            "postal_code": "453511021",
            "telephone_number": "419-582-6011",
            "fax_number": "419-582-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCHKE",
        "first_name": "MARCUS",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "05223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osgood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.