Luke Eric Staudenmaier, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3209 Issued in WI

Practice address

30 N 18TH Ave
Suite #3
Sturgeon Bay, WI 54235-3207

Phone

(920) 743-7255

Fax

(920) 743-7256

NPI assigned

Oct 5, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Staudenmaier Chiropractic Wellness Center, S.C.

  • Chiropractor
  • Sturgeon Bay, WI
  • NPI 1578694253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093702920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 WHITE STAR RD",
            "city": "BRUSSELS",
            "state": "WI",
            "postal_code": "542049781",
            "telephone_number": "920-825-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 18TH AVE",
            "address_2": "SUITE #3",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353207",
            "telephone_number": "920-743-7255",
            "fax_number": "920-743-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDENMAIER",
        "first_name": "LUKE",
        "middle_name": "ERIC",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Door County Cancer Center)
• St. Clare Memorial Hospital, Inc (HSHS SCO Regional Surgery Center Sturgeon Bay)
• St. Joseph's Hospital (Libertas)
• St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis (St. Vincent Regional Cancer Center)
• Staudenmaier Chiropractic Wellness Center, S.C.
• Bonnie Marie Stewart, OTR
• Elizabeth R Stubenvoll, PHARMD
• Sturgeon Bay School District
• Sunshine House Inc.
• John David Swanson, M.D.

• Chiropractor in Sturgeon Bay, WI
• Providers in Sturgeon Bay, 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.