Individual provider Active NPI

Gregory W Pastrick, DC LLC

  • Chiropractor
  • Poland, OH
National Provider Identifier
1952491920
Registry record updated Jul 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1371 Issued in OH
Practice address
727 E Western Reserve Rd
Suite B
Poland, OH 44514-4359
Phone
(330) 518-7795
Fax
(330) 729-1101
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 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 1371 OH Primary

Addresses

Primary practice location

727 E Western Reserve Rd
Suite B
Poland, OH 44514-4359

Mailing address

184 Overlook Blvd
Struthers, OH 44471
Phone (330) 518-7795

Other identifiers 1

IdentifierTypeStateIssuer
0182065MedicaidOH

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yerkey Chiropractic Health Center, Inc Chiropractor PastSince Nov 1, 2000 Accepting new patients
McMichael Chiropractic Family Practice Inc. Chiropractor Past 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1952491920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 OVERLOOK BLVD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "44471",
            "telephone_number": "330-518-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E WESTERN RESERVE RD",
            "address_2": "SUITE B",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144359",
            "telephone_number": "330-518-7795",
            "fax_number": "330-729-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRICK",
        "first_name": "GREGORY",
        "middle_name": "W",
        "credential": "DC LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182065",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.