Marc Eliszewski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6054-12 Issued in WI

Practice address

1300 Capitol Dr Ste E
Pewaukee, WI 53072-2535

Phone

(262) 650-0701

Fax

(262) 650-8101

NPI assigned

Feb 20, 2023

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

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 and National Provider Directory roles.

• Harvest Chiropractic LLC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1982160099
  Medicare reassignment NPD
• Waukesha Wellness Way LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1396107736
  Medicare reassignment NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1134827108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CAPITOL DR STE E",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722535",
            "telephone_number": "262-650-0701",
            "fax_number": "262-650-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CAPITOL DR STE E",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722535",
            "telephone_number": "262-650-0701",
            "fax_number": "262-650-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISZEWSKI",
        "first_name": "MARC",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6054-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britni Dworak, PT
• Alyssa Coryne Dziondziak, RN, CWON
• Lauren A Eckert, MS
• Alicia Ehlen, BCBA
• Eric Jay Ehrke, LCSW
• Elite Mobility Services
• Jon Michael Englund, M.D.
• Eric Ehrke LLC
• Mark R Erickson, P.T.
• Evolution Exercise & Spine Center

• 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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.