Matthew W Waro, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5406 Issued in WI

Practice address

1195 Summit Ave Ste 400
Oconomowoc, WI 53066-4494

Phone

(262) 204-7007

NPI assigned

Nov 6, 2017

Last updated

Feb 18, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shields Chiropractic LLCGroup PAC ID 0840191136, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shields Chiropractic LLC

  dba Shields Chiropractic

  • Chiropractor
  • Saginaw, MI
  • NPI 1275567422
  Medicare reassignment Care Compare group
• Prime Internists PLLC

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1174031298
  NPD
• Chiropractic Care Centers, S.C.

  dba Chiropractic Care Center - Jefferson

  • Chiropractor
  • Jefferson, WI
  • NPI 1356482822
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1346753985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 SUMMIT AVE STE 400",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664494",
            "telephone_number": "262-204-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 SUMMIT AVE STE 400",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664494",
            "telephone_number": "262-204-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARO",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010615",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelena Vujanic
• Walgreen Co (Walgreens #03567)
• Alyssa Walker, APNP
• Jessica Walos, PHD
• Kathleen Elizabeth Walsh
• Allyson Waskosky, MSOT
• Watertown Regional Medical Center, Inc (UWHP WRMC Bellissa Oconomowoc)
• Watertown Regional Medical Center, Inc (UWHP WRMC One Wellness)
• Watertown Regional Medical Center, Inc (UWHP WRMC Oconomowoc Clinic)
• Amanda Watkins, MASTERS, SAC-IT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.