Provider Type Icon

JEFFERSON PARK SPINE SPECIALISTS LLC NPI 1346487170


NPI Information

NPI: 1346487170
Provider Name: JEFFERSON PARK SPINE SPECIALISTS, LLC

Doing Business As: MEDINA SPORTS AND FAMILY CHIROPRACTIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8803 BRECKSVILLE RD STE 13
BRECKSVILLE, OH
ZIP 44141
Phone: (330) 920-1681
Get Directions

JEFFERSON PARK SPINE SPECIALISTS, LLC is a clinic center in Brecksville, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JEFFERSON PARK SPINE SPECIALISTS, LLC NPI is 1346487170. The provider is registered as an organization entity type.
The provider Is Doing Business As Medina Sports And Family Chiropractic.

The provider's business location address is:

8803 BRECKSVILLE RD STE 13
BRECKSVILLE, OH
ZIP 44141-990
Phone: (330) 920-1681
Fax: (330) 920-1669

The provider's authorized official is Ryan Patrick Meehan .
The authorized official title is Owner/ Provider and has the following contact phone number (330) 920-1681.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 6/17/2019.


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
1261Q00000XClinic/CenterYes

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
10189203MEDICAIDOHIO
22353528MEDICAIDOHIO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.