Individual provider Active NPI

Michael James McMahon, DC

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1871669697
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1616 Issued in WI
Practice address
4330 Golf Ter Ste 107
Eau Claire, WI 54701-7984
Phone
(715) 834-4516
Fax
(715) 834-0552
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1616 WI Primary

Addresses

Primary practice location

4330 Golf Ter Ste 107
Eau Claire, WI 54701-7984

Mailing address

4330 Golf Ter Ste 107
Eau Claire, WI 54701-7984
Phone (715) 834-4516

Other identifiers 1

IdentifierTypeStateIssuer
38765500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000803 WI Practitioner - Chiropractic 4385693308 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4330 Golf Ter
Suite 107
Eau Claire, WI 54701-7984
Phone (715) 834-4516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1616WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McMahon Chiropractic and Physical Therapy Clinic LLC Chiropractor CurrentSince Feb 20, 2019 Accepting new patients

Locations

3004 Golf Rd
Ste 100
Eau Claire, WI 54701
Phone (715) 514-2827

4330 Golf Ter
Ste 107
Eau Claire, WI 54701
Phone (715) 833-4960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1871669697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017984",
            "telephone_number": "715-834-4516",
            "fax_number": "715-834-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017984",
            "telephone_number": "715-834-4516",
            "fax_number": "715-834-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38765500",
            "state": "WI"
        }
    ],
    "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 Jul 28, 2022; 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.