LUCAS FLYNN DC LLC (NPI# 1225540768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225540768 |
| Entity Type | Organization |
| Organization Name | LUCAS FLYNN DC LLC |
| Other Organization Name | VILLAGE SQUARE CHIROPRACTIC CENTER |
| Practice Address |
55 Shiawassee Ave Ste 5 Fairlawn OH 44333-3700 |
| Practice Telephone | 3308365000 |
| Practice Fax Number | 3308365015 |
| Mailing Telephone | 3308365000 |
| Mailing Fax Number | 3308365015 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2020-10-04 |
| Authorized Official Name | LUCAS EDWIN FLYNN (OWNER) |
| Authorized Official Telephone | 3308365000 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3513 | OH | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Village Square Chiropractic Center | Doing Business As Name - Organization |
| Street Address |
55 SHIAWASSEE AVE STE 5 |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881622009 | Lucas Edwin Flynn | Chiropractor | 55 Shiawassee Ave Ste 5, Fairlawn, OH 44333-3700 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811498900 | Summit Spine & Injury Center LLC | Chiropractor | 3200 W Market St Ste 301, Fairlawn, OH 44333-3326 | 2018-02-23 |
| 1407383243 | Kody Severino | Chiropractor | 3029 Smith Rd Ste 400, Fairlawn, OH 44333-3366 | 2017-05-11 |
| 1861857187 | Brumbaugh Chiropractic LLC | Chiropractor | 2640 W Market St Ste 101a, Fairlawn, OH 44333-4202 | 2015-12-31 |
| 1184015117 | Robert Eugene Griesse | Chiropractor | 2855 W Market St Ste 201, Fairlawn, OH 44333-4034 | 2015-02-12 |
| 1962614602 | Pinelli Chiropractic Center | Chiropractor | 11-05 Fairlawn Ave, Fairlawn, NJ 07410 | 2007-05-04 |
| 1417017880 | James Edward Ruch | Chiropractor | 100 N Miller Rd, Fairlawn, OH 44333-3704 | 2006-12-08 |
| 1285709907 | Michael Dean Gruich | Chiropractor | 55 Shiawassee Ave, Fairlawn, OH 44333-3700 | 2006-11-21 |
| 1881622009 | Lucas Edwin Flynn | Chiropractor | 55 Shiawassee Ave Ste 5, Fairlawn, OH 44333-3700 | 2006-06-28 |
| 1902859408 | Matthew J Pramik | Chiropractor | 2640 West Market Street, Suite 101a, Fairlawn, OH 44333-4202 | 2006-05-18 |
| 1992216915 | Reg Enterprises LLC | Chiropractor | 2855 W Market St Ste 201, Fairlawn, OH 44333-4034 | 2017-10-17 |
| Find all providers in FAIRLAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.