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MITCHELL GOOZDICH DC NPI 1073508503


NPI Information

NPI: 1073508503
Provider Name: MITCHELL GOOZDICH, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
113 N LEAVITT RD
AMHERST, OH
ZIP 44001
Phone: (440) 985-5505
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Mitchell Goozdich, DC is a chiropractor in Amherst, OH with 30 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Mitchell Goozdich, DC NPI is 1073508503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:1994

The provider's business location address is:

113 N LEAVITT RD
AMHERST, OH
ZIP 44001-110
Phone: (440) 985-5505
Fax: (440) 985-5507

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 9/12/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC.2965OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12204715MEDICAIDOHIO
2P00004067OTHERRAILROAD MEDICARE
37757699OTHERCIGNA
4U59006MEDICARE UPIN
5000000257051OTHEROHIOANTHEM BLUE CROSS
64401426OTHERUNITED HEALTHCARE
74031373MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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