Thomas Patrick Chisholm, M.D.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

14077-020 Issued in WI

Practice address

316 W Spruce St
Chippewa Falls, WI 54729-1734

Phone

(715) 726-0365

Fax

(715) 720-4656

NPI assigned

Nov 12, 2008

Last updated

Nov 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1255585659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W SPRUCE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291734",
            "telephone_number": "715-726-0365",
            "fax_number": "715-720-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W SPRUCE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291734",
            "telephone_number": "715-726-0365",
            "fax_number": "715-720-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "WI",
            "license": "14077-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chippewa Valley Health Cooperative
• Chippewa Valley Independent Psychiatry LLC
• Chippewa Valley Physical Therapy SC
• Chippewa Valley Wound Care, LLC
• Chiro One Wellness Center of Chippewa Falls, LLC
• Courtney L Christensen, OTR
• Carolyn Christian, M.S., CCC-SLP
• Christman Dental, LTD
• Blane Christman, DDS
• Rena J. Christman, DMD

• Community Health Clinic/Center in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Community Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.