Active NPI
Paul Hermann Gasch, D.C.
- Chiropractor
- Onalaska, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4965-12
- Practice address
- 1115 Riders Club Rd
Onalaska, WI 54650-2079 - Phone
- (608) 519-8112
- Fax
- (608) 519-8113
- NPI assigned
- May 16, 2007
- Last updated
- Oct 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4965-12 | WI | Primary |
| Nutrition Chiropractor | 111NN1001X | 761-0406 | NH |
Addresses
Primary practice location
1115 Riders Club Rd
Onalaska, WI 54650-2079
Mailing address
925 13TH Ave S
Ste 100
Onalaska, WI 54650-3417
Phone (608) 519-8112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
925 13TH Ave S
Suite 100
Onalaska, WI 54650-3417
Phone (608) 519-8112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4965-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onalaska Family Chiropractic Wellness Center LLC | Chiropractor | Current | Accepting new patients |
| Progressive Spine Care LLC | Chiropractor | Past | Accepting new patients |
Locations
1115 Riders Club Rd
Onalaska, WI 54650
Phone (608) 519-2606
925 13th Ave S
Ste 100
Onalaska, WI 54650
Phone (608) 519-8112
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Onalaska, WI
- NPI 1144627076
-
- Chiropractor
- Onalaska, WI
- NPI 1407172604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1063629509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 13TH AVE S",
"address_2": "STE 100",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546503417",
"telephone_number": "608-519-8112",
"fax_number": "608-519-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RIDERS CLUB RD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546502079",
"telephone_number": "608-519-8112",
"fax_number": "608-519-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASCH",
"first_name": "PAUL",
"middle_name": "HERMANN",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4965-12",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NH",
"license": "761-0406",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.