LAKE COUNTRY NEUROLOGY AND SPINE CENTER (NPI# 1487820908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487820908 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTRY NEUROLOGY AND SPINE CENTER |
| Practice Address |
300 Cottonwood Ave Suite 3 Hartland WI 53029-2043 |
| Practice Telephone | 2623699993 |
| Mailing Telephone | 2623699993 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DR. PAUL THOMAS (PARTNER) |
| Authorized Official Telephone | 2623699993 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
Chiropractic Providers |
| Street Address |
300 COTTONWOOD AVE SUITE 3 |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184173866 | Elizabeth Anne Poth | Counselor | 300 Cottonwood Ave, Suite 8, Hartland, WI 53029-2043 | 2016-09-23 |
| 1568741593 | Susan Kay Sevenz | Social Worker | 300 Cottonwood Ave, Suite 4, Hartland, WI 53029-2043 | 2011-08-08 |
| 1922266469 | Deanne Marie Weiler | Counselor | 300 Cottonwood Ave, Suite 4, Hartland, WI 53029-2043 | 2008-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204993 | Kathleen M Clark | Chiropractor | 209 Commercial St, Hartland, ME 04943-3710 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004992 | Chiropractic Neurology Center of Green Bay, LLC | Chiropractor | 2625 Development Dr, Suite 10, Green Bay, WI 54311-4250 | 2011-12-26 |
| 1538323365 | Affordable Chiropractic.biz, LLC | Chiropractor | 1524 University Ave, Ste 7, Green Bay, WI 54302-1800 | 2008-07-10 |
| 1174714653 | Apple Medical Clinic Sc | Chiropractor | 2000 S Memorial Dr Ste 201, Appleton, WI 54915-1237 | 2007-08-08 |
| 1063618718 | Brian E Palevac | Chiropractor | N16w26535 Tall Reeds Ln, Suite G, Pewaukee, WI 53072-6614 | 2007-06-21 |
| 1780893628 | Keith Adam Alexander | Chiropractor | 12719 Sheridan Rd, Pleasant Prairie, WI 53158-5336 | 2007-05-21 |
| 1932317096 | Scott Harold Wruck | Chiropractor | 940 Hansen Rd, Ste F, Green Bay, WI 54304-5376 | 2007-05-20 |
| 1891902888 | Michael Lee Johnson | Chiropractor | 1713 S Oneida St, Appleton, WI 54915-7803 | 2007-05-17 |
| 1487783817 | Michael Corr | Chiropractor | 114 Fs Dr # C, Viroqua, WI 54665-2222 | 2007-03-02 |
| 1649327784 | Scott M Theirl | Chiropractor | 1009 W Glen Oaks Ln, Suite 207, Mequon, WI 53092-3377 | 2007-01-04 |
| 1235294026 | Scott A Capesius | Chiropractor | 850c Lombardi Ave, Green Bay, WI 54304-3768 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
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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.