NPIMap

Organization Active NPI

Mushin PLLC

  • Chiropractor
  • West Bend, WI
National Provider Identifier
1437469400
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4575-12 Issued in WI
Legal business name
MUSHIN PLLC
Practice address
2100 Gateway CT Ste 100
West Bend, WI 53095-8550
Phone
(262) 334-8188
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Dr. Frederick James Schofield, D.C.
Title
Chiropractor
Phone
(262) 334-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4575-12 WI Primary

Addresses

Primary practice location

2100 Gateway CT Ste 100
West Bend, WI 53095-8550

Mailing address

2100 Gateway CT Ste 100
West Bend, WI 53095-8550
Phone (262) 334-8188

Other names 1

  • Gardner Schofield Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000270 WI Part B Supplier - Clinic/Group Practice 6507055597 Receives reassigned benefits from 1 practitioner
Practice locations: West Bend, WI

National Provider Directory

National Provider Directory

Locations

820 E Paradise Dr
West Bend, WI 53095
Phone (262) 334-8188

2100 Gateway Ct
Ste 100
West Bend, WI 53095
Phone (262) 334-8188

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1437469400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GATEWAY CT STE 100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958550",
            "telephone_number": "262-334-8188",
            "fax_number": "262-334-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GATEWAY CT STE 100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958550",
            "telephone_number": "262-334-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSHIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "SCHOFIELD",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-334-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4575-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardner Schofield Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gardner Schofield Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.