Eric Macanga, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3521 Issued in OH

Practice address

165 W Bagley Rd
Berea, OH 44017-1856

Phone

(440) 826-1440

Fax

(440) 826-1126

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cooperative Medical Health Care Corporation Professional Association

  • Chiropractor
  • Berea, OH
  • NPI 1720260979
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1962578013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W BAGLEY ROAD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171943",
            "telephone_number": "440-826-1440",
            "fax_number": "440-826-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171856",
            "telephone_number": "440-826-1440",
            "fax_number": "440-826-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACANGA",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carl Ludwig, MD
• Lauren Elizabeth Lukasko
• Lauren Joy Lund, BA, MA, MA
• Susan Grace Lynch, LMT
• Edward Macanga Jr., DM
• Janine Mack, RN
• Maggie a Kleem DDS LLC
• Kiliyah Mair
• Casimir John Majcher, DDS
• John Avery Malone Jr.

• Chiropractor in Berea, OH
• Providers in Berea, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.