Anthony Todd Christianson, D.C.
Individual provider Active NPI Chiropractor · Spring Green, WI
NPI 1295863975 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295863975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3115-012 (WI)
- Practice address
- 150 E Jefferson Street
Spring Green, WI 53588 - Phone
- (608) 588-2242
- Fax
- (608) 588-9384
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 E Jefferson St
Suite 102
Spring Green, WI 53588-8071
Phone (608) 588-2242
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070427000117 | WI | Practitioner - Chiropractic | 3577669159 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3115-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Christianson Pfau Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3115-012 | WI | Yes |
Addresses
Primary practice location
150 E Jefferson Street
Spring Green, WI 53588
Mailing address
S9661 Center St
Prairie Du Sac, WI 53578-9733
Phone (608) 544-4404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38882700 | Medicaid | WI |
Other names
- Dr. Anthony Todd Christianson
Other providers in Spring Green, WI
- Brittiney Belche
- Brooklynn Mikkel Benzine
- Therese Marie Bethel
- Joshua Bunno
- Adam Michael Childs
- Cristine L Cornelius
- Sarah E Coy
- Kelsi Marie Craker
- Maria A Denu
- Driftless Diabetes Management, LLC
All providers in Spring Green, WI · Chiropractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.