Staudenmaier Chiropractic Wellness Center, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3209-012 Issued in WI

Legal business name

STAUDENMAIER CHIROPRACTIC WELLNESS CENTER, S.C.

Practice address

30 N 18TH Ave
Sturgeon Bay, WI 54235-3207

Phone

(920) 743-7255

Fax

(920) 743-7256

NPI assigned

Mar 7, 2007

Last updated

Aug 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luke Eric Staudenmaier, D.C.NPI 1093702920

Title

President

Phone

(920) 743-7255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luke Eric Staudenmaier, D.C.

  • Chiropractor
  • Sturgeon Bay, WI
  • NPI 1093702920
  Medicare reassignment NPD Authorized official
• Elizabeth Anne Emerson, D.C.

  • Chiropractor
  • Fish Creek, WI
  • NPI 1730376484
  NPD (past)
• Jamie Heiman, DC

  • Nurse Practitioner
  • Manitowoc, WI
  • NPI 1083786859

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1578694253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353207",
            "telephone_number": "920-743-7255",
            "fax_number": "920-743-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353207",
            "telephone_number": "920-743-7255",
            "fax_number": "920-743-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUDENMAIER CHIROPRACTIC WELLNESS CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "STAUDENMAIER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-743-7255",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3209-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "3209-012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specialized Services, LLC
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Door County Cancer Center)
• St. Clare Memorial Hospital, Inc (HSHS SCO Regional Surgery Center Sturgeon Bay)
• St. Joseph's Hospital (Libertas)
• St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis (St. Vincent Regional Cancer Center)
• Luke Eric Staudenmaier, D.C.
• Bonnie Marie Stewart, OTR
• Elizabeth R Stubenvoll, PHARMD
• Sturgeon Bay School District
• Sunshine House Inc.

• Chiropractor in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.