Individual provider Active NPI

Michael A Saatkamp, DC

  • Chiropractor
  • Sheboygan, WI
National Provider Identifier
1518018548
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1972-012 Issued in WI
Practice address
1320 N Taylor Dr
Sheboygan, WI 53081-3042
Phone
(920) 459-8475
Fax
(920) 694-0437
NPI assigned
Jan 16, 2007
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 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 1972-012 WI Primary

Addresses

Primary practice location

1320 N Taylor Dr
Sheboygan, WI 53081-3042

Mailing address

604 Michigan Ave
Sheboygan, WI 53081-3425
Phone (920) 459-8475

Other identifiers 1

IdentifierTypeStateIssuer
38794100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000072 WI Practitioner - Chiropractic 5799766036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friederichs Chiropractic LLCGroup PAC ID 5193082857, 2 clinicians

Practice addresses (Care Compare)

604 Michigan Ave
Sheboygan, WI 53081-3425
Phone (920) 459-8475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1972-012WIMDChiropractor
1972WIMDPhysical Therapy Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1518018548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MICHIGAN AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813425",
            "telephone_number": "920-459-8475",
            "fax_number": "920-694-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813042",
            "telephone_number": "920-459-8475",
            "fax_number": "920-694-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAATKAMP",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1972-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38794100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.