DR. MANDY M PEARCE (NPI# 1487661138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487661138 |
| Entity Type | Individual |
| Full Name | DR. MANDY M PEARCE |
| Other Name | MS. MANDY M WOLF |
| Credential | DC |
| Practice Address |
1001 Cecelia Dr Pewaukee Family Chiropractic Pewaukee WI 53072-2546 |
| Practice Telephone | 2626959206 |
| Practice Fax Number | 2626959302 |
| Mailing Telephone | 2626959206 |
| Mailing Fax Number | 2626959302 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4175012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1487661138 | 05 |
| Street Address |
1001 CECELIA DR PEWAUKEE FAMILY CHIROPRACTIC |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255863767 | Carmen Kosicek | Nurse Practitioner | 1001 Cecelia Dr, Suite 200, Pewaukee, WI 53072-2546 | 2017-04-03 |
| 1083923049 | Kimberly Jean Berndt | Registered Nurse | 1001 Cecelia Dr, Pewaukee, WI 53072 | 2010-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| 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 |
|---|---|---|---|---|
| 1194047316 | Robert Theodore Fisher Jr. | Chiropractor | 1921 Silvernail Rd, Suite 101, Pewaukee, WI 53072-5596 | 2010-02-16 |
| 1760628952 | Melissa Shera | Chiropractor | W243n2344 Saddle Brook Dr, #211, Pewaukee, WI 53072-5896 | 2008-12-18 |
| 1417167115 | Chiro-med,sc | Chiropractor | 1921 Silvernail Road, Suite 101, Pewaukee, WI 53072 | 2007-05-23 |
| 1184766248 | David Robert Stein | Chiropractor | 2900 Golf Rd, Pewaukee, WI 53072-5449 | 2007-02-13 |
| 1356492284 | Pewaukee Family Chiropractic Sc | Chiropractor | N28w23000 Roundy Dr Ste 101, Pewaukee, WI 53072-7300 | 2007-01-16 |
| 1568512721 | Gregory D Ott | Chiropractor | 601 Ryan St, Suite F, Pewaukee, WI 53072-1844 | 2007-01-11 |
| 1538199062 | John Torrent Friedrichs | Chiropractor | N35w23770 Capitol Dr, Pewaukee, WI 53072-6312 | 2006-07-03 |
| 1982016861 | Kayci Michelle Timm | Chiropractor | 2343 Silvernail Rd, Pewaukee, WI 53072-5402 | 2014-05-27 |
| 1912347048 | Steve Christopher Wilsens | Chiropractor | 2343 Silvernail Rd, Pewaukee, WI 53072-5402 | 2013-07-03 |
| 1154694313 | Katelyn Ann Dawson | Chiropractor | N35w23770 Capitol Dr, Pewaukee, WI 53072-6312 | 2012-02-20 |
| Find all providers in PEWAUKEE | ||||
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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.