Wilmington Clinic D.C., P.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

4167 Issued in MO

Legal business name

WILMINGTON CLINIC D.C., P.C.

Practice address

4918 Weber Rd
Saint Louis, MO 63123-5645

Phone

(314) 353-1477

Fax

(314) 631-3060

NPI assigned

May 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Joseph Fiscella, D.C.NPI 1548295215

Title

President

Phone

(314) 353-1477

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Joseph Fiscella, D.C.

  • Orthopedic Chiropractor
  • Saint Louis, MO
  • NPI 1548295215
  Authorized official Same address or phone

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386852481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 WEBER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235645",
            "telephone_number": "314-353-1477",
            "fax_number": "314-631-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 WEBER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235645",
            "telephone_number": "314-353-1477",
            "fax_number": "314-631-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON CLINIC D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-353-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MO",
            "license": "4167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill D Wilmarth, RNC, NNP,BC
• John H Wilmas Jr., M.D.
• Kelly Michele Wilmas, MD
• Jacob Michael Wilmes, PMHNP-BC
• Wilmington Chiropractic Clinic, LLC
• Tara Wilmot, RDN, LD
• Nicholas Jon Wilsdorf, DDS
• Vanessa Wilson-Cox
• Scott Andrew Wilson-Flewelling, MD
• Alexandra Erin Wilson, BS, ATC

• Orthopedic Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Orthopedic Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.