Organization Active NPI

Ohio Healthcare Services

  • Chiropractor
  • Lakewood, OH
National Provider Identifier
1972642221
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3588 Issued in OH
Legal business name
OHIO HEALTHCARE SERVICES
Practice address
17828 Lake Ave
Lakewood, OH 44107-1017
Phone
(888) 508-3375
Fax
(330) 468-8878
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Zvonko Ivan Vukovic, D.C.
Title
Owner
Phone
(888) 508-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3588 OH Primary

Addresses

Primary practice location

17828 Lake Ave
Lakewood, OH 44107-1017

Mailing address

17828 Lake Ave
Lakewood, OH 44107-1017
Phone (888) 508-3375

Other identifiers 3

IdentifierTypeStateIssuer
731010361004OtherOHMEDICAL MUTUAL
273727881-00OtherOHWORKERS COMPENSATION
731010361-00OtherOHWORKERS COMPENSATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972642221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17828 LAKE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071017",
            "telephone_number": "888-508-3375",
            "fax_number": "330-468-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17828 LAKE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071017",
            "telephone_number": "888-508-3375",
            "fax_number": "330-468-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VUKOVIC",
        "authorized_official_first_name": "ZVONKO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-508-3375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "731010361004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "273727881-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "731010361-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.