DR. PATRICK JAMES EDWARDS (NPI# 1134200413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134200413 |
| Entity Type | Individual |
| Full Name | DR. PATRICK JAMES EDWARDS |
| Credential | DC |
| Practice Address |
147 N State St Berlin WI 54923-1621 |
| Mailing Address |
1741 Cottontail Dr Oshkosh WI 54904-6882 |
| Practice Telephone | 9203613515 |
| Mailing Telephone | 9203122329 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3417 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38900700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205101201 | Patrick Stevens Edwards | Dental Assistant | 8728 N Haven Ave, Portland, OR 97203-3426 | 2012-03-09 |
| 1780195586 | Patrick Stinson Edwards | Technician | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2017-10-19 |
| 1578092656 | Patrick Edwards | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2017-06-12 |
| 1740214873 | Patrick J. Edwards | Family Medicine | 300 N 4th Ave E, Suite 200, Newton, IA 50208-3155 | 2006-07-11 |
| 1851351191 | Patrick Edwards | Family Medicine | 790 E 5th St, Coquille, OR 97423 | 2006-03-23 |
| 1225004575 | Patrick Scott Edwards | Pediatrics | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2006-02-27 |
| Street Address |
147 N STATE ST |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063511061 | Tina Lorene Swanke | Specialist | 147 N State St, Berlin, WI 54923-1621 | 2006-09-22 |
| 1558915652 | Brandon James Dial | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2019-07-26 |
| 1447746730 | Katrine Koerting Colton | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2018-07-10 |
| 1538458559 | Jennifer T Mauel | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2011-03-30 |
| 1407915937 | Wepner Chiropractic Office, S.c. | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2006-12-08 |
| 1831289107 | Back & Body Therapeutic Touch, LLC | Specialist | 147 N State St, Berlin, WI 54923-1621 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| Find all providers in zip 54923 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487927893 | Patricia Ann Spiegel Dc LLC | Chiropractor | 262 S White Horse Pike, Berlin, NJ 08009-1902 | 2012-02-15 |
| 1578788238 | Kappes Wellness Centers, P.a. | Chiropractor | 11032 Nicholas Ln, Suite A102, Berlin, MD 21811-3297 | 2007-04-16 |
| 1033235924 | Thomas P Kappes | Chiropractor | 11032 Nicholas Lane, Suite 102a, Berlin, MD 21811 | 2007-03-22 |
| 1598898017 | Cedar Brook Chiropractic LLC | Chiropractor | 1 Myers Ave, Berlin, NJ 08009 | 2007-03-13 |
| 1528105871 | Christine Diane Miller | Chiropractor | 4585 State Rt 39, Suite C, Berlin, OH 44610 | 2007-01-30 |
| 1144375924 | Christopher Roger Lau | Chiropractor | 120 Commercial St, Berlin, WI 54923-1737 | 2007-01-24 |
| 1720154677 | Terry Lin Wepner | Chiropractor | 147 N State Street, Berlin, WI 54923-1621 | 2006-11-24 |
| 1215007562 | Carrie M Hartney | Chiropractor | 3 Webster Square Rd, Berlin, CT 06037-2326 | 2006-11-08 |
| 1306854286 | Patricia A Spiegel | Chiropractor | 262 South White Horse Pike, Berlin Chiropractic, Berlin, NJ 08009 | 2006-08-04 |
| 1285654582 | Carl Anthony Depativo | Chiropractor | 162 W White Horse Pike, Berlin, NJ 08009-2003 | 2006-07-20 |
| Find all providers in BERLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.