MATTHEW JAMES WUNDERLICH (NPI# 1265525430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265525430 |
| Entity Type | Individual |
| Full Name | MATTHEW JAMES WUNDERLICH |
| Credential | D.C. |
| Practice Address |
3070 Fish Hatchery Rd. Madison WI 53713 |
| Practice Telephone | 6082742266 |
| Practice Fax Number | 6082741945 |
| Mailing Telephone | 6082742266 |
| Mailing Fax Number | 6082741945 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3965012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38982700 | 05 |
| Street Address |
3070 FISH HATCHERY RD. |
| City | MADISON |
| State | WI |
| Zip Code | 53713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| 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 |
|---|---|---|---|---|
| 1013543198 | Logan Georgeson | Chiropractor | 132 Alton Dr, Madison, WI 53718-9156 | 2020-03-20 |
| 1710527965 | Stephen Grooms | Chiropractor | 8103 Highway 72 W Ste E, Madison, AL 35758-9529 | 2020-01-15 |
| 1194365239 | Jacob Riley Calder | Chiropractor | 71 Bradley Rd Unit 5, Madison, CT 06443-2662 | 2020-01-07 |
| 1962041061 | Kendyl Rose Greimann | Chiropractor | 2639 University Ave # 200, Madison, WI 53705-3750 | 2020-01-06 |
| 1265074306 | Austin Tray Klute | Chiropractor | 6075 Gemini Dr Ste 101, Madison, WI 53718-3013 | 2019-10-10 |
| 1245871573 | Jennifer Humphrey | Chiropractor | 5609 Medical Cir Ste 2, Madison, WI 53719-1228 | 2019-10-08 |
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1669946836 | Timothy Grayson Ernst | Chiropractor | 135 Main St Ste 101, Madison, NJ 07940-2165 | 2019-01-21 |
| 1982196630 | Thrive Chiropractic LLC | Chiropractor | 637 E Washington Ave, Madison, WI 53703-2909 | 2018-05-30 |
| 1669989299 | Joseph Kevin Kelbel | Chiropractor | 6138 Mineral Point Rd, Madison, WI 53705-4458 | 2018-01-04 |
| Find all providers in MADISON | ||||
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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.