Eugene Mennow II, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010518 Issued in PA

Practice address

914 Trailwood Dr
Boardman, OH 44512-5007

Phone

(330) 758-6440

NPI assigned

Feb 2, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Apex Physical Medicine, Inc

  • General Practice Physician
  • Canton, OH
  • NPI 1053825448
  NPD (past)
• Muscarella Chiropractic, PC

  • Chiropractor
  • Hermitage, PA
  • NPI 1770603169
  NPD (past)

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972809259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 TRAILWOOD DRIVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 TRAILWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125007",
            "telephone_number": "330-758-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 N Kerrwood Dr",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161485202",
            "country_code": "US",
            "telephone_number": "724-342-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENNOW",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "002678882",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Meese
• Meijer Stores Limited Partnership
• Melissa Mullane Padgett, DDS, LLC
• Derek Mellott, O.D.
• Richard A Memo, M.D.
• Brisha Merchant
• Mercy Health Physicians
• Mercy Health Physicians Youngstown LLC
• Mercy Health Physicians Youngstown Specialty Care LLC
• Mercy Health Youngstown LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.