Individual provider Active NPI

Michael Poitinger, DC, LCC

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1912925249
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2556 Issued in OH
Practice address
1825 N Reynolds Rd
Toledo, OH 43615-3536
Phone
(937) 592-9545
Fax
(937) 592-9790
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 2556 OH Primary

Addresses

Primary practice location

1825 N Reynolds Rd
Toledo, OH 43615-3536

Mailing address

PO Box 341
Bellefontaine, OH 43311-0341
Phone (937) 592-9545

Other identifiers 2

IdentifierTypeStateIssuer
2018024MedicaidOH
000000141843OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000607 OH Practitioner - Chiropractic 1557312774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 N Reynolds Rd
Toledo, OH 43615-3536
Phone (419) 535-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Poitinger DC LLC Chiropractor CurrentSince Sep 1, 2012 Accepting new patients
John E Sutherland DC Inc Chiropractor PastSince Sep 1, 2012 Accepting new patients

Locations

1825 N Reynolds Rd
Toledo, OH 43615
Phone (419) 535-1331

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912925249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433110341",
            "telephone_number": "937-592-9545",
            "fax_number": "937-592-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153536",
            "telephone_number": "937-592-9545",
            "fax_number": "937-592-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITINGER",
        "first_name": "MICHAEL",
        "credential": "DC, LCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018024",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000141843",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.