Maureen Patrice O'Connor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3131 Issued in WI

Practice address

515 S Military Ave
Green Bay, WI 54303-2209

Phone

(920) 490-0200

Fax

(920) 490-9698

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Bay Chiropractic Clinic LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1164010104
  NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750465886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 JOHN ST",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541044",
            "telephone_number": "920-846-8200",
            "fax_number": "920-490-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MILITARY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032209",
            "telephone_number": "920-490-0200",
            "fax_number": "920-490-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "MAUREEN",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38882900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Rae Nussbaum, PH.D.
• Edward Nwachukwu, M.D.
• Gregory J Nystrom, DC
• Elizabeth A O'Connor, M.D.
• Kelly E O'Connor, CNM
• Wyatt O'Neil
• Margaret O'Toole, D.C
• Michael C O'Toole, MD
• Oak Grove Dental Associates, LLC
• Oak Grove Dental Associates, LLC

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

• 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.