Tyler Allen Malueg

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5287-12 Issued in WI

Practice address

2069 Central CT Ste 11
Green Bay, WI 54311-4281

Phone

(920) 241-6808

NPI assigned

Jul 31, 2017

Sex

Male

Sole proprietor

No

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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Atlas Spinal Care

  • Chiropractor
  • Green Bay, WI
  • NPI 1861916769
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1376067413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 CENTRAL CT STE 11",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 CENTRAL CT STE 11",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114281",
            "telephone_number": "920-241-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALUEG",
        "first_name": "TYLER",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5287-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Ann Maloney, D.C.
• Emery James Maloney, CO
• Mary Kathleen Maloney, MS, OTR
• Matthew Maloney, SAC IT
• Olivia Malson, PT, DPT
• Christian F Maluf, MD, FACP, FCCP.
• Cynthia A Malvitz-Overly, O.D., F.A.A.O.
• Tasha Joy Malvitz, MA/CCC-SLP
• Mamma Gese
• Mark A. Mancheski, O.D.

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.