Individual provider Active NPI

Patrick G Stoiber, D.C.

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1154300010
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2349-012 Issued in WI
Practice address
1720 Grove Ave
Wisconsin Rapids, WI 54494-6907
Phone
(715) 424-8000
Fax
(715) 424-8020
NPI assigned
Jan 10, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2349-012 WI Primary

Addresses

Primary practice location

1720 Grove Ave
Wisconsin Rapids, WI 54494-6907

Mailing address

1720 Grove Ave
Wisconsin Rapids, WI 54494-6907
Phone (715) 424-8000

Other identifiers 1

IdentifierTypeStateIssuer
38847400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000769 WI Practitioner - Chiropractic 4486621646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Stoiber Chiropractic IncGroup PAC ID 5890969778, 2 clinicians

Practice addresses (Care Compare)

1720 Grove Ave
Wisconsin Rapids, WI 54494-6907
Phone (715) 424-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2349-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Victoria Zueger, S.C. CurrentSince Jan 3, 2013 Accepting new patients
Patrick Stoiber Chiropractic Inc. CurrentSince Oct 31, 2011 Accepting new patients
Stoiber Healthcare S.C. Chiropractor PastSince Mar 1, 2003 Accepting new patients

Locations

1720 Grove Ave
Wisconsin Rapids, WI 54494
Phone (715) 424-8000

710 E Grand Ave
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1154300010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 GROVE AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946907",
            "telephone_number": "715-424-8000",
            "fax_number": "715-424-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GROVE AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946907",
            "telephone_number": "715-424-8000",
            "fax_number": "715-424-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOIBER",
        "first_name": "PATRICK",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2349-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38847400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.