Intergrated Pain and Spine Care SC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3812-012 Issued in WI

Legal business name

INTERGRATED PAIN AND SPINE CARE SC

Practice address

5261 N Port Washington Rd Ste 100
Milwaukee, WI 53217-4903

Phone

(414) 967-9000

Fax

(414) 332-3712

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Wendy Kirk

Title

Credentialing Specialist

Phone

(414) 967-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Dana Renee Hammond, DC

  • Chiropractor
  • Milwaukee, WI
  • NPI 1508586025
  NPD (past)
• Zachary Heipel, DC

  • Chiropractor
  • Glendale, WI
  • NPI 1215633839
  NPD (past)
• Andrew C Stopczynski, DC

  • Chiropractor
  • West Bend, WI
  • NPI 1083774152
  NPD (past)
• Nicole Patricia Trochil, DC

  • Chiropractor
  • Wauwatosa, WI
  • NPI 1568986024
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1457861007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170181",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532178016",
            "telephone_number": "414-967-9000",
            "fax_number": "414-332-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 N PORT WASHINGTON RD STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174903",
            "telephone_number": "414-967-9000",
            "fax_number": "414-332-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRATED PAIN AND SPINE CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "414-967-9000"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "3812-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interfaith Older Adult Services, Inc
• Internal Peace Pathways LLC
• Interra Health, Inc.
• Invivo Wellness Restoration, LLC
• Adriana Ioachimescu, MD
• Octavian Cosmin Ioachimescu, M.D.

• Rehabilitation Chiropractor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Rehabilitation Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.