Individual provider Active NPI

Paul William Bizjak, D.C.

  • Chiropractor
  • Twinsburg, OH
National Provider Identifier
1902941313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2523 Issued in OH
Practice address
9630 Ravenna Rd
Suite 100
Twinsburg, OH 44087-6811
Phone
(330) 405-2751
Fax
(330) 405-2752
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

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 2523 OH Primary

Addresses

Primary practice location

9630 Ravenna Rd
Suite 100
Twinsburg, OH 44087-6811

Mailing address

9630 Ravenna Rd
Suite 100
Twinsburg, OH 44087-6811
Phone (330) 405-2751

Other identifiers 2

IdentifierTypeStateIssuer
341883685-00OtherOHBWC
341883685-002OtherOHMEDICAL MUTAUL OF OHIO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000582 OH Practitioner - Chiropractic 5698739894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Center, IncGroup PAC ID 4284677618, 2 clinicians

Practice addresses (Care Compare)

9630 Ravenna Rd
Suite 100
Twinburg, OH 44087-6812
Phone (330) 405-2751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2523OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center, Inc. Chiropractor CurrentSince Oct 4, 1997 Accepting new patients

Locations

9630 Ravenna Rd
Ste 100
Twinsburg, OH 44087
Phone (330) 405-2751

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902941313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 RAVENNA RD",
            "address_2": "SUITE 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440876811",
            "telephone_number": "330-405-2751",
            "fax_number": "330-405-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 RAVENNA RD",
            "address_2": "SUITE 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440876811",
            "telephone_number": "330-405-2751",
            "fax_number": "330-405-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZJAK",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "341883685-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTAUL OF OHIO",
            "identifier": "341883685-002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, 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.