Individual provider Active NPI

Mark G Oas, D.C.

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1487648093
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3823-012 Issued in WI
Practice address
1740 Westgate Rd
Eau Claire, WI 54703-4963
Phone
(715) 552-7889
Fax
(715) 552-7939
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3823-012 WI Primary

Addresses

Primary practice location

1740 Westgate Rd
Eau Claire, WI 54703-4963

Mailing address

1740 Westgate Rd
Eau Claire, WI 54703-4963
Phone (715) 552-7889

Other identifiers 1

IdentifierTypeStateIssuer
38938900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000361 WI Practitioner - Chiropractic 3870537921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2125 Cameron St
Eau Claire, WI 54703-4947
Phone (715) 552-7889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oas Family Chiropractic, LLC Chiropractor CurrentSince Jun 1, 2005 Accepting new patients
Michael J. Olson Chiropractor Past Accepting new patients
Olson CC Wellness LLC Chiropractor PastSince Jan 1, 2018 Accepting new patients

Locations

2125 Cameron St
Eau Claire, WI 54703
Phone (715) 552-7889

1740 Westgate Rd
Eau Claire, WI 54703
Phone (715) 552-7889

Interoperability endpoints

  • Direct secure messaging: drmarkoas@oasfamilychiropractic.myhcdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1487648093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 WESTGATE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034963",
            "telephone_number": "715-552-7889",
            "fax_number": "715-552-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 WESTGATE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034963",
            "telephone_number": "715-552-7889",
            "fax_number": "715-552-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAS",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3823-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38938900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.