MARTIN E. MYTAS D.C.,S.C. (NPI# 1497050348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497050348 |
| Entity Type | Organization |
| Organization Name | MARTIN E. MYTAS D.C.,S.C. |
| Other Organization Name | THRIVE WELLNESS |
| Practice Address |
1103 Front St. Cashton WI 54619 |
| Practice Telephone | 6086545200 |
| Practice Fax Number | 6086545140 |
| Mailing Telephone | 6086545200 |
| Mailing Fax Number | 6086545140 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | DR. MARTIN MYTAS (OWNER) |
| Authorized Official Telephone | 6084872171 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4213-012 | WI | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Thrive Wellness | Doing Business As Name - Organization |
| Street Address |
1103 FRONT ST. |
| City | CASHTON |
| State | WI |
| Zip Code | 54619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631865 | Danielle Ann Dale | Dental Hygienist | 2383 Front St, Cashton, WI 54619 | 2013-02-28 |
| 1558357020 | James R Sueppel | Dentist | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2005-09-21 |
| 1417106048 | Stacey L. Markuson | Nurse Practitioner | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2008-09-18 |
| 1295833986 | David B Townsend | Dentist | 238 Front Street, Scenic Bluffs Health Center, Cashion, WI 54619 | 2006-09-20 |
| 1033126198 | Sandra A Roellich | Counselor | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2006-08-02 |
| 1104890078 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 238 Front St, Cashton, WI 54619 | 2006-02-15 |
| 1891791067 | Mark S Heberlein | Neuromusculoskeletal Medicine & OMM | 238 Front St, Cashton, WI 54619-2002 | 2005-06-22 |
| 1144841495 | Heather Suby | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2020-04-28 |
| 1679110670 | Caroline Glover | Massage Therapist | 238 Front St, Cashton, WI 54619-2002 | 2019-12-09 |
| 1447896337 | Joanna Lovato | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2019-11-26 |
| Find all providers in zip 54619 | ||||
| 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 |
|---|---|---|---|---|
| 1972677136 | Martin Mytas | Chiropractor | 1103 Front St, Cashton, WI 54619-8028 | 2006-11-20 |
| 1417063009 | Pene Lee Enchante | Chiropractor | 901 Front St, Cashton, WI 54619-2003 | 2006-08-23 |
| 1831494301 | Trevor L Lyons | Chiropractor | 238 Front St, Cashton, WI 54619-2002 | 2011-01-14 |
| 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.