ANTHONY J BAWEK (NPI# 1235285099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235285099 |
Entity Type | Individual |
Full Name | ANTHONY J BAWEK |
Credential | DC |
Practice Address |
305 S Dettloff Dr Arcadia WI 54612-1702 |
Mailing Address |
305 S Dettloff Drive Arcadia WI 54612-1702 |
Practice Telephone | 6083237651 |
Practice Fax Number | 6083237651 |
Mailing Telephone | 6083237651 |
Mailing Fax Number | 6083237651 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2016-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4282-012 | WI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38973800 | 05 | |
WI | MEDICAID GROUP | 38993500 | 01 |
Street Address |
305 S DETTLOFF DR |
City | ARCADIA |
State | WI |
Zip Code | 54612-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396099065 | Gundersen Clinic Ltd | Clinic/Center | 108 S 3rd St, Arcadia, WI 54612 | 2012-11-02 |
1972605731 | Alan J Bassuener | Chiropractor | 308 St Joseph Ave Suite 2, Arcadia, WI 54612 | 2006-09-02 |
1841231354 | Iwona E Lewis | Physical Therapist | 464 S St Joseph Avenue, Arcadia, WI 54612 | 2006-06-08 |
1023008547 | Bert S Hodous | Family Medicine | 895 Dettloff Dr, Arcadia, WI 54612 | 2005-10-26 |
1831448299 | Mary A. Green | Nurse Practitioner | 895 Dettloff Dr, Arcadia, WI 54612 | 2012-08-31 |
1508937780 | David E Brown | Counselor | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-11-10 |
1679510507 | Janet W Butler | Social Worker | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-05-31 |
1992700421 | Connie M Hoppe | Nurse Practitioner | 209 N 3rd St, Arcadia, WI 54612-1002 | 2005-06-21 |
1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
1750779013 | Holly Marie Glanville | Registered Nurse | 625 W Main St, Arcadia, WI 54612-1227 | 2015-01-08 |
Find all providers in zip 54612 |
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 |
---|---|---|---|---|
1376056564 | Simon Ma | Chiropractor | 26 E Huntington Dr, Arcadia, CA 91006-3209 | 2017-11-09 |
1477094183 | Arcadia Health Chiropractic - Dr. Cassandra Sepulveda, Inc | Chiropractor | 158 E Foothill Blvd, Suite A, Arcadia, CA 91006-2565 | 2017-03-14 |
1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
1730547621 | Arcadia Chiropractic & Wellness Inc. | Chiropractor | 305 Dettloff Dr, Arcadia, WI 54612-1702 | 2016-02-05 |
1346615119 | Jeffrey Kwan Premier Chiropractic | Chiropractor | 411 E Huntington Dr Ste 119, Arcadia, CA 91006-3788 | 2015-12-04 |
1992070940 | Cassandra Tricia Shum | Chiropractor | 323 E Foothill Blvd, Suite B, Arcadia, CA 91006-7403 | 2012-03-08 |
1356641971 | Ray A Pevey Dc PC | Chiropractor | 423 South First Ave, Arcadia, CA 91006-3831 | 2010-10-29 |
1134451289 | Bobby Wu | Chiropractor | 487 W Le Roy Ave, Arcadia, CA 91007-7306 | 2010-01-30 |
1083945083 | Gun-hun Kim | Chiropractor | 4262 Lynd Ave, Arcadia, CA 91006-5834 | 2010-01-15 |
1881826667 | Cathy Wai-fong Wong Ng | Chiropractor | 323 E Foothill Blvd Ste B, Arcadia, CA 91006-7404 | 2009-08-13 |
Find all providers in ARCADIA |
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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.