DR. TYLER PENSIS (NPI# 1043772346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043772346 |
| Entity Type | Individual |
| Full Name | DR. TYLER PENSIS |
| Practice Address |
W5675 Cty Hwy B Shawano WI 54166 |
| Mailing Address |
N4791 Capitol Dr Shawano WI 54166-6102 |
| Practice Telephone | 7155266158 |
| Mailing Telephone | 7153049645 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5446-12 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE NUMBER | 5446-12 | 01 |
| Street Address |
W5675 CTY HWY B |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252257 | Sharon Beth Balstad | Chiropractor | W5675 Cty Hwy B, Shawano, WI 54166-0060 | 2005-08-18 |
| 1750588513 | Kathryn Jean Mead | Chiropractor | W5675 Cty Hwy B, Shawano, WI 54166-0060 | 2007-06-27 |
| 1316095185 | Countryview Chiropractic Clinic, S.c. | Chiropractor | W5675 Cty Hwy B, Shawano, WI 54166-0060 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| 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 |
|---|---|---|---|---|
| 1750549556 | Kristina Therese Sipple | Chiropractor | 931 E 5th St, Shawano, WI 54166-2211 | 2008-05-28 |
| 1356538649 | Verkuilen Family Chiropractic, LLC | Chiropractor | 154 Woodlawn Dr, Shawano, WI 54166-2200 | 2007-10-01 |
| 1790852176 | Carrie Marie Verkuilen | Chiropractor | 1401 E Elizabeth St, Shawano, WI 54166-3121 | 2006-11-29 |
| 1083710487 | Michael E Brosnan | Chiropractor | 322 E Green Bay St, Shawano, WI 54166-2448 | 2006-09-15 |
| 1588606966 | Brian Michael Grieves | Chiropractor | 150c County Road B, Shawano, WI 54166-7072 | 2006-06-12 |
| 1548252257 | Sharon Beth Balstad | Chiropractor | W5675 Cty Hwy B, Shawano, WI 54166-0060 | 2005-08-18 |
| 1447604053 | Brosnan Chiropractic, LLC | Chiropractor | 322 E Green Bay St, Shawano, WI 54166-2448 | 2016-04-20 |
| 1750588513 | Kathryn Jean Mead | Chiropractor | W5675 Cty Hwy B, Shawano, WI 54166-0060 | 2007-06-27 |
| 1316095185 | Countryview Chiropractic Clinic, S.c. | Chiropractor | W5675 Cty Hwy B, Shawano, WI 54166-0060 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.