Matthew K Marine, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5177-12 Issued in WI

Practice address

109A S Center Ave
Merrill, WI 54452-1237

Phone

(715) 539-9797

Fax

(715) 539-9098

NPI assigned

Apr 13, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gress Chiropractic Clinic, LLCGroup PAC ID 2769492859, 3 clinicians

Scott D Bautch DC SCGroup PAC ID 7214237759, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gress Chiropractic Clinic, LLC

  • Chiropractor
  • Merrill, WI
  • NPI 1578618187
  Medicare reassignment Care Compare group NPD
• Scott D. Bautch D C S C

  • Chiropractor
  • Wausau, WI
  • NPI 1316315153

  WI

  Medicare reassignment Care Compare group
• David Low Back Center DC

  • Massage Therapist
  • Freeport, IL
  • NPI 1871028563
  NPD (past)

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1235429101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109A S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521237",
            "telephone_number": "715-539-9797",
            "fax_number": "715-539-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109A S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521237",
            "telephone_number": "715-539-9797",
            "fax_number": "715-539-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINE",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011906",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5177-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5177-12",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln County 51.437 Services
• Lincoln County Department of Social Services
• Cassie Littlejohn, DPT
• Edward Long
• Adam Manteuffel, D.D.S.
• Arthur Marquis, MD
• Marshfield Clinic Inc
• Gwendolyn Jayne Martell-Daniels, LCSW, SAC
• Kelly Martello
• Michael David Mathson, PHYSICAL THERAPIST

• Chiropractor in Merrill, WI
• Providers in Merrill, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.