Active NPI
Madison Scarlassara, DC
- Chiropractor
- Oconomowoc, WI
National Provider Identifier
1831912377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6240-12
- Practice address
- N58W39799 Hwy 16
Oconomowoc, WI 53066-2194 - Phone
- (262) 567-4497
- Fax
- (262) 567-3716
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6240-12 | WI | Primary |
Addresses
Primary practice location
N58W39799 Hwy 16
Oconomowoc, WI 53066-2194
Mailing address
N58W39799 Hwy 16
Oconomowoc, WI 53066-2194
Phone (262) 567-4497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
N58W39799 Hwy 16
Oconomowoc, WI 53066-2194
Phone (262) 567-4497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6240-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael R Traub D.C. LTD | Chiropractor | Current | Accepting new patients |
Locations
N58W39799 Highway 16
Oconomowoc, WI 53066
Phone (262) 567-4497
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1831912377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N58W39799 HWY 16",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530662194",
"telephone_number": "262-567-4497",
"fax_number": "262-567-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N58W39799 HWY 16",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530662194",
"telephone_number": "262-567-4497",
"fax_number": "262-567-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARLASSARA",
"first_name": "MADISON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6240-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.