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GREAT LAKES SPORTS & SPINE LLC
NPI 1710768494
Chiropractor in Willoughby, OH

Active since October 10, 2023
34940 RIDGE RD STE B, WILLOUGHBY, OH 44094(440) 527-8030 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Sports & Spine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES SPORTS & SPINE LLC (NPI 1710768494) is a healthcare organization registered as a chiropractor in Willoughby, Ohio and active in the NPI registry since October 2023. The organization lists Matthew Paul Martin, Owner/chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1710768494
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREAT LAKES SPORTS & SPINE LLC
Location Address34940 RIDGE RD STE BWilloughby, OH 44094-4197
Mailing Address502 Windham CtBroadview Heights, OH 44147-4214 · (440) 503-6683
Phone(440) 527-8030
Organization SubpartNo
Authorized OfficialMatthew Paul MartinOwner/chiropractic Physician · (440) 503-6683
Enumeration DateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
✔ NPI 1710768494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
34940 RIDGE RD STE B, Willoughby, OH 44094
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT LAKES SPORT AND SPINE
Chiropractor
34940 RIDGE RD STE B
WILLOUGHBY, OH 44094
Lake County (440) 503-6683
MATTHEW PAUL MARTIN D.C.
Chiropractor
34940 RIDGE RD STE B
WILLOUGHBY, OH 44094
Lake County (440) 527-8030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Sports & Spine LLC's NPI number?

The NPI number for Great Lakes Sports & Spine LLC is 1710768494. It was assigned to this organization in the NPPES registry on October 10, 2023.

Where is Great Lakes Sports & Spine LLC located?

Great Lakes Sports & Spine LLC is located at 34940 Ridge Rd Ste B, Willoughby, OH 44094. The listed phone number is (440) 527-8030.

What is Great Lakes Sports & Spine LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Great Lakes Sports & Spine LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Great Lakes Sports & Spine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Sports & Spine LLC was last updated on October 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.