AMANDA J PENNEKAMP (NPI# 1336410547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336410547 |
Entity Type | Individual |
Full Name | AMANDA J PENNEKAMP |
Credential | DC |
Practice Address |
2702 Monroe St Madison WI 53711-1888 |
Practice Telephone | 6083166972 |
Practice Fax Number | 6082319690 |
Mailing Telephone | 6083166972 |
Mailing Fax Number | 6082319690 |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4784 | WI | Chiropractic Providers |
Street Address |
2702 MONROE ST |
City | MADISON |
State | WI |
Zip Code | 53711-1888 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417957994 | Galen J Baker | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-07-27 |
1194194225 | Jahna Cook | Acupuncturist | 2702 Monroe St, Madison, WI 53711-1888 | 2015-09-18 |
1184959405 | Monroe Street Family Dental, LLC | Clinic/Center | 2702 Monroe St, Madison, WI 53711-1888 | 2009-10-04 |
1689804338 | Sara R Jurgella | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2009-07-15 |
1447436951 | Benjamin Michael Mikla | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2008-01-15 |
1194854521 | Benjamin Joseph Farrow | Dentist | 2702 Monroe St, Madison, WI 53711-1888 | 2007-03-02 |
1952393712 | Harvey T Storm | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-08-18 |
1649262403 | Eugene R Yellen-shiring | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-08-18 |
1699767368 | Stephen R Dewitt | Chiropractor | 2702 Monroe St, Madison, WI 53711-1888 | 2005-08-18 |
1457343246 | Luedtke-storm-mackey Chiropractic Clinic, Sc | Chiropractor | 2702 Monroe St, Suite B, Madison, WI 53711-1897 | 2005-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
Find all providers in zip 53711 |
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 |
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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.