DR. CORY DEAN MADISON (NPI# 1689040180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689040180 |
| Entity Type | Individual |
| Full Name | DR. CORY DEAN MADISON |
| Practice Address |
1251 Scheuring Rd Ste A De Pere WI 54115-1003 |
| Mailing Address |
2150 S Courtland Dr Green Bay WI 54313-9360 |
| Practice Telephone | 9203363353 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5112-12 | WI | Chiropractic Providers |
| Street Address |
1251 SCHEURING RD STE A |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757050 | Kallie Ann Madison | Chiropractor | 1251 Scheuring Rd Ste A, De Pere, WI 54115-1003 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| 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 |
|---|---|---|---|---|
| 1457904609 | Sadey Lynn Broecker | Chiropractor | 102 N Broadway Ste 102, De Pere, WI 54115-2520 | 2019-07-17 |
| 1093218745 | Tundra Chiropractic, LLC | Chiropractor | 1251 Scheuring Rd, De Pere, WI 54115-1003 | 2018-03-08 |
| 1285090761 | Advanced Alternative Health Center LLC | Chiropractor | 1700 Sand Acres Dr, Suite 5, De Pere, WI 54115-7563 | 2016-01-13 |
| 1285059980 | Karl Huebner | Chiropractor | 3108 Mid Valley Dr, De Pere, WI 54115-9436 | 2014-03-04 |
| 1073943437 | Alex Kocken | Chiropractor | 920 Main Ave, Ste B, De Pere, WI 54115-1306 | 2013-11-22 |
| 1639472772 | Thomas Matzke | Chiropractor | 615 George St, De Pere, WI 54115-2809 | 2010-12-13 |
| 1194913434 | Van Drisse Chiropractic Center LLC | Chiropractor | 502a George St, De Pere, WI 54115-2714 | 2007-10-11 |
| 1598842056 | Amy Sara Jakubovsky | Chiropractor | 124 N Broadway, De Pere, WI 54115-2567 | 2006-11-01 |
| 1922188440 | Delorey Chiropractic Clinic, Inc. | Chiropractor | 1488 Mid Valley Dr, De Pere, WI 54115-9501 | 2006-10-17 |
| 1659383529 | Paul M Harris | Chiropractor | 580 Redbird Cir, De Pere, WI 54115-8785 | 2006-08-12 |
| Find all providers in DE PERE | ||||
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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.