Individual provider Active NPI

Samuel John Stramara, DC

  • Chiropractor
  • Watertown, WI
National Provider Identifier
1578666095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3075012 Issued in WI
Practice address
501 Hall Street
Watertown, WI 53094-4105
Phone
(920) 261-5784
Fax
(920) 261-6074
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3075012 WI Primary

Addresses

Primary practice location

501 Hall Street
Watertown, WI 53094-4105

Mailing address

501 Hall Street
Watertown, WI 53094-4105
Phone (920) 261-5784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000604 WI Practitioner - Chiropractic 7315988003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 Hall St
Watertown, WI 53094-4105
Phone (920) 261-5784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3075012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stramara Chiropractic, S.C. Chiropractor CurrentSince May 28, 2005 Accepting new patients

Locations

501 Hall St
Watertown, WI 53094
Phone (920) 261-5784

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578666095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HALL STREET",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944105",
            "telephone_number": "920-261-5784",
            "fax_number": "920-261-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HALL STREET",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944105",
            "telephone_number": "920-261-5784",
            "fax_number": "920-261-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAMARA",
        "first_name": "SAMUEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3075012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.