Active NPI
George A Barsamian, D.C.
- Chiropractor
- Mukwonago, WI
National Provider Identifier
1053587675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2852
- Practice address
- 1009 Highway NN E
Mukwonago, WI 53149-1017 - Phone
- (262) 363-4500
- NPI assigned
- May 3, 2008
- Last updated
- May 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2852 | WI | Primary |
Addresses
Primary practice location
1009 Highway NN E
Mukwonago, WI 53149-1017
Mailing address
1009 Highway NN E
Mukwonago, WI 53149-1017
Phone (262) 363-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120507000514 | WI | Practitioner - Chiropractic | 5092977157 | Practice locations: Mukwonago, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1009 E Veterans Way
Mukwonago, WI 53149-1017
Phone (262) 363-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2852 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209772800000",
"number": "1053587675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 HIGHWAY NN E",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531491017",
"telephone_number": "262-363-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 HIGHWAY NN E",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531491017",
"telephone_number": "262-363-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARSAMIAN",
"first_name": "GEORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-03",
"last_updated": "2008-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukwonago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; 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.