Individual provider Active NPI

Douglas A. Yaraschuk

  • Chiropractor
  • Redford, MI
National Provider Identifier
1912907296
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004938 Issued in MI
Practice address
24801 5 Mile Rd Ste 22
Redford, MI 48239-3654
Phone
(313) 387-8122
Fax
(313) 387-8123
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004938 MI Primary

Addresses

Primary practice location

24801 5 Mile Rd Ste 22
Redford, MI 48239-3654

Mailing address

24801 5 Mile Rd Ste 22
Redford, MI 48239-3654
Phone (313) 387-8122

Other identifiers 1

IdentifierTypeStateIssuer
11464341OtherMICAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro-Care of Livonia, P.C. Chiropractor Past Accepting new patients
Douglas a. Yaraschuk, P.C. Chiropractor PastSince Jul 1, 2005 Accepting new patients

Organizations & group practices 2

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1912907296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24801 5 MILE RD STE 22",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393654",
            "telephone_number": "313-387-8122",
            "fax_number": "313-387-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24801 5 MILE RD STE 22",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393654",
            "telephone_number": "313-387-8122",
            "fax_number": "313-387-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARASCHUK",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11464341",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.