MASSART CHIROPRACTIC OF ALGOMA SC (NPI# 1265095566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265095566 |
| Entity Type | Organization |
| Organization Name | MASSART CHIROPRACTIC OF ALGOMA SC |
| Practice Address |
800 Jefferson St Algoma WI 54201-1774 |
| Mailing Address |
1239 W Mason St Green Bay WI 54303-2047 |
| Practice Telephone | 9204870076 |
| Practice Fax Number | 9204870093 |
| Mailing Telephone | 9208846100 |
| Mailing Fax Number | 9208846311 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | TIMOTHEA A. MASSART (OWNER) |
| Authorized Official Telephone | 9202461472 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | MASSART CHIROPRACTIC SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38941700 | 05 |
| Street Address |
800 JEFFERSON ST |
| City | ALGOMA |
| State | WI |
| Zip Code | 54201-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609905645 | Rebecca Havel Prust | Dentist | 1223 Lake Street, Algoma, WI 54201 | 2007-03-05 |
| 1780734418 | Lakeshore Vision Centers, Ltd | Clinic/Center | 1021 Jefferson St., Algoma, WI 54201 | 2007-01-12 |
| 1306905575 | Alan William Haubenschild | Dentist | 409 5th St, Algoma, WI 54201 | 2006-12-06 |
| 1336128081 | Lisa Olson | Physician Assistant | 1510 Fremont St, Algoma, Algoma, WI 54201 | 2006-01-11 |
| 1477559938 | Robert James Anderson | Family Medicine | 831 Parker St, Algoma, WI 54201-0185 | 2005-06-21 |
| 1841603693 | Katie Ann Lukes | Registered Nurse | 831 Parker St, Algoma, WI 54201-0185 | 2014-06-10 |
| 1124438478 | Bellin Psychiatric Center Inc | Counselor | 831 Parker St, Algoma, WI 54201-0185 | 2014-05-07 |
| 1558372094 | City of Algoma | Ambulance | 400 3rd St, Algoma, WI 54201-1211 | 2006-08-10 |
| 1447291331 | Kay K Secrest | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2006-06-09 |
| 1528106929 | Secrest Family Chiropractic LLC | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2007-02-01 |
| Find all providers in zip 54201 | ||||
| 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 |
|---|---|---|---|---|
| 1821511841 | Amber Beth Vanden Avond | Chiropractor | 305 Steele St Ste 1, Algoma, WI 54201-1266 | 2017-07-21 |
| 1891023552 | Michelle M. Pavlat | Chiropractor | E4340 Elm Rd, Algoma, WI 54201-9719 | 2009-11-18 |
| 1811036189 | D G Kenny Dc Sc | Chiropractor | 1421 Lake St, Algoma, WI 54201-1449 | 2007-02-05 |
| 1871631127 | Mark John Sauter | Chiropractor | 305 Steele St, Suite 105, Algoma, WI 54201-1266 | 2007-02-01 |
| 1447291331 | Kay K Secrest | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2006-06-09 |
| 1790274660 | Lighthouse Chiropractic, LLC | Chiropractor | 305 Steele St Ste 1, Algoma, WI 54201-1266 | 2018-05-07 |
| 1528106929 | Secrest Family Chiropractic LLC | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2007-02-01 |
| 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 | ||||
Please comment or provide details below to improve the information on MASSART CHIROPRACTIC OF ALGOMA SC.
| 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.