Mackenzie Rae Wood, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5018-12 Issued in WI

Practice address

10224 N Port Washington Rd
Suite F
Mequon, WI 53092-5754

Phone

(262) 989-4658

NPI assigned

May 27, 2014

Sex

Female

Sole proprietor

Yes

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 WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Wisconsin Family and Sports Chiropractic, LLCGroup PAC ID 1557663770, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wisconsin Family and Sports Chiropractic, LLC

  • Chiropractor
  • Mequon, WI
  • NPI 1326452293
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1639581697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 N PORT WASHINGTON RD",
            "address_2": "SUITE F",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 N PORT WASHINGTON RD",
            "address_2": "SUITE F",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925754",
            "telephone_number": "262-989-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MACKENZIE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5018-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay A Wojciechowski, FNP
• Corey B Wolf, P.T.
• Jessica Wolfe, LCSW
• Lisa Ann Woller, RN
• Holly J Wonder, LPC
• Jada Woods
• Timothy L Workman, M.D.
• Jazmynn Worman
• Ellen Worzalla, PTA
• Casey D. Wright, PHD

• Chiropractor in Mequon, WI
• Providers in Mequon, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.