Tara Marie Gill, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4098 Issued in WI

Practice address

N35W23770 Capitol Dr
Pewaukee, WI 53072-6312

Phone

(262) 695-1870

Fax

(262) 695-1872

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tara Marie Paquette Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• IL HMO C-SNP
• IL PPO Downstate
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gill Family Chiropractic

  • Chiropractor
  • Delavan, WI
  • NPI 1720318264
  Medicare reassignment NPD Authorized official
• Burlington Family Chiropractic LLC

  • Chiropractor
  • Burlington, WI
  • NPI 1649348392
  NPD (past)
• Excel Family Chiropractic and Wellness Inc

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1154510519
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003975129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N35W23770 CAPITOL DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726312",
            "telephone_number": "262-695-1870",
            "fax_number": "262-695-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N35W23770 CAPITOL DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726312",
            "telephone_number": "262-695-1870",
            "fax_number": "262-695-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38961000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PAQUETTE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane C Garrison, PHD
• Gateway Chiropractic and Rehabilitation LLC
• Genoa Healthcare LLC
• Shannon Gibney, LMT
• Clifford Jonas Gidlund
• Shirley Y Godiwalla, MD
• Carl Goehner
• Golf Creek Family Chiropractic
• Good Harvest Market
• Paige Alexis Goodwin, OTR/L

• Chiropractor in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.