Active NPI
Pamela J Barge, D.C.
- Chiropractor
- La Crosse, WI
National Provider Identifier
1073574430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1333
- Practice address
- 2045 32ND St S
La Crosse, WI 54601-7026 - Phone
- (608) 788-7118
- Fax
- (608) 787-6171
- NPI assigned
- Mar 28, 2006
- Last updated
- Oct 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 1333 | WI | Primary |
Addresses
Primary practice location
2045 32ND St S
La Crosse, WI 54601-7026
Mailing address
2045 32ND St S
La Crosse, WI 54601-7026
Phone (608) 788-7118
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38828300 | Medicaid | WI | |
| 90247SC | Other | MN | BC/BS INDIVIDUAL# |
| 350022905 | Other | WI | RR MEDICARE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1333 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barge & Barge Chiropractic Center LTD | Chiropractor | Current | Accepting new patients |
Locations
2045 32nd St S
La Crosse, WI 54601
Phone (608) 788-1170
Organizations & group practices 1
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
- La Crosse, WI
- NPI 1083675417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1073574430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 32ND ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017026",
"telephone_number": "608-788-7118",
"fax_number": "608-787-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 32ND ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017026",
"telephone_number": "608-788-7118",
"fax_number": "608-787-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGE",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38828300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS INDIVIDUAL#",
"identifier": "90247SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE#",
"identifier": "350022905",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.