Lisa Marie Mesko, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010083 Issued in MI

Practice address

350 N. Main St.
Ste 250
Chelsea, MI 48118-1486

Phone

(734) 636-0111

Fax

(734) 636-0111

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive ChiropracticGroup PAC ID 1557593068, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Proactive Chiropractic

  • Chiropractor
  • Chelsea, MI
  • NPI 1689099954
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1538501341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N. MAIN ST.",
            "address_2": "STE 250",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181486",
            "telephone_number": "734-636-0111",
            "fax_number": "734-636-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N. MAIN ST.",
            "address_2": "STE 250",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181486",
            "telephone_number": "734-636-0111",
            "fax_number": "734-636-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mollie Helen McGuire, NURSE PRACTITIONER
• Thomas Mark McKernan, PHARM. D.
• Meadow Lane Rehabilitative Therapies LLC
• Mark John Meister, PA-C
• Lisa Marie Metler, PA-C
• Michigan Orthopedic Services
• Michigan Periodontics Group LLC
• Michigan Surgery Specialists, P.C.
• Mill Creek Consulting PLLC

• Chiropractor in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.