Active NPI
Scoliosis Center of Wisconsin
- Health Service Clinic/Center
- Eau Claire, WI
National Provider Identifier
1700046117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 4037-012
- Legal business name
- SCOLIOSIS CENTER OF WISCONSIN
- Practice address
- 1030 Oak Ridge Dr
Suite D
Eau Claire, WI 54701-4564 - Phone
- (715) 838-0827
- Fax
- (715) 838-0400
- NPI assigned
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew John Schwab, DC
- Title
- Clinic Director
- Phone
- (715) 838-0827
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 4037-012 | WI | Primary |
Addresses
Primary practice location
1030 Oak Ridge Dr
Suite D
Eau Claire, WI 54701-4564
Mailing address
1030 Oak Ridge Dr
Suite D
Eau Claire, WI 54701-4564
Phone (715) 838-0827
National Provider Directory
National Provider DirectoryLocations
1030 Oak Ridge Dr
Ste D
Eau Claire, WI 54701
Phone (715) 255-0125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1700046117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 OAK RIDGE DR",
"address_2": "SUITE D",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014564",
"telephone_number": "715-838-0827",
"fax_number": "715-838-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 OAK RIDGE DR",
"address_2": "SUITE D",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014564",
"telephone_number": "715-838-0827",
"fax_number": "715-838-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOLIOSIS CENTER OF WISCONSIN",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "SCHWAB",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "715-838-0827",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "WI",
"license": "4037-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.