Active NPI
Theodore Donald Szymanski, D.C.
- Chiropractor
- Oshkosh, WI
National Provider Identifier
1376612184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3768-012
- Practice address
- 309 N Sawyer St
Oshkosh, WI 54902-4252 - Phone
- (920) 231-8500
- Fax
- (920) 231-1257
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3768-012 | WI | Primary |
Addresses
Primary practice location
309 N Sawyer St
Oshkosh, WI 54902-4252
Mailing address
PO Box 5208
Appleton, WI 54912-5208
Phone (920) 231-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38930800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3768-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376612184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5208",
"city": "APPLETON",
"state": "WI",
"postal_code": "549125208",
"telephone_number": "920-231-8500",
"fax_number": "920-231-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 N SAWYER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549024252",
"telephone_number": "920-231-8500",
"fax_number": "920-231-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMANSKI",
"first_name": "THEODORE",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3768-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38930800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.