Garrett Alexander Panno, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5577-12 Issued in WI

Practice address

11129 N Wauwatosa Rd
Mequon, WI 53097-3431

Phone

(414) 354-5377

NPI assigned

Nov 18, 2020

Sex

Male

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 WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Company - Brown Deer LTDGroup PAC ID 8628255718, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chiropractic Company - Brown Deer LTD

  • Chiropractor
  • Mequon, WI
  • NPI 1861797045
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1669075123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11129 N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11129 N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNO",
        "first_name": "GARRETT",
        "middle_name": "ALEXANDER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5577-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Pacl, P.T.
• Angelina Rosmarie Palese, FNP-BC
• Liana R Pallo
• Caroline Nicole Palmer, MD
• Stefanie Carol Palmer, M.A., TLPC
• Lisa Ann Parker, APNP
• Laurie Berg Pasch, MSSW LCSW LMFT
• Shawn Patel, DO
• Shirish P Patel, MD
• Patrick Schultz LLC

• 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 Nov 18, 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.