MARK JAMES VANDECASTLE (NPI# 1649390352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649390352 |
| Entity Type | Individual |
| Full Name | MARK JAMES VANDECASTLE |
| Credential | D.C. |
| Practice Address |
140 N. Townline Rd Wautoma WI 54982-0246 |
| Mailing Address |
140 N. Townline Rd Po Box 246 Wautoma WI 54982-0246 |
| Practice Telephone | 9207870122 |
| Practice Fax Number | 9207870091 |
| Mailing Telephone | 9207870122 |
| Mailing Fax Number | 9207870091 |
| Enumeration Date | 2007-03-29 |
| 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 | 3211-012 | WI | Chiropractic Providers |
| Street Address |
140 N. TOWNLINE RD |
| City | WAUTOMA |
| State | WI |
| Zip Code | 54982-0246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871935429 | Vandecastle Family Chiropractic Clinic | Clinic/Center | 140 N. Townline Rd, Wautoma, WI 54982-0512 | 2013-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919506 | Virginia Ellen Moon | Counselor | 203 South 16th Court, Wautoma, WI 54982 | 2009-10-13 |
| 1528232832 | County of Waushara | Public Health or Welfare | 230 W. Park Street, Wautoma, WI 54982 | 2008-04-17 |
| 1770770125 | Waushara County Government | Case Management | 205 W Elm St, Wautoma, WI 54982 | 2007-10-01 |
| 1063606325 | Wautoma Area School District | Local Education Agency (LEA) | 556 S Cambridge St, Wautoma, WI 54982 | 2007-08-30 |
| 1013036433 | David J Brown | Dentist | 400 S Townline Road, Box 1440, Wautoma, WI 54982 | 2007-03-28 |
| 1285773820 | Chiroplus Complementary Healthcare Centers, LLC | Chiropractor | W7841 State Rd 21 &73, Wautoma, WI 54982 | 2007-02-06 |
| 1881767887 | Louis Francis Cooper | Psychologist | W7199 Chicago Road, Wautoma, WI 54982 | 2006-11-16 |
| 1902840069 | Ann E. Moore | Pharmacist | 900 E. Divison St, Aurora Pharmacy #300, Wautoma, WI 54982 | 2006-06-16 |
| 1790737443 | Waushara Industries, Inc. | Non-emergency Medical Transport (VAN) | 210 E Townline Rd, Wautoma, WI 54982 | 2006-05-17 |
| 1164414736 | Kim Ownby | Physician Assistant | N2934 Hwy 22 North, Wautoma, WI 54982 | 2005-08-18 |
| Find all providers in zip 54982 | ||||
| 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 |
|---|---|---|---|---|
| 1285773820 | Chiroplus Complementary Healthcare Centers, LLC | Chiropractor | W7841 State Rd 21 &73, Wautoma, WI 54982 | 2007-02-06 |
| 1194801191 | Active Lifestyle Chiropractic,sc | Chiropractor | 140 N. Townline Rd., Wautoma, WI 54982-0246 | 2006-10-31 |
| 1538258785 | Terrence R Barkalow | Chiropractor | 200 N Oakridge Ct, Wautoma, WI 54982-8405 | 2006-10-12 |
| 1790871200 | David Michael Gruszka | Chiropractor | 140 N Townline Rd, Wautoma, WI 54982-0246 | 2006-10-04 |
| 1336421346 | Nathan L Barkalow | Chiropractor | 200 N Oakridge Ct, Wautoma, WI 54982-8405 | 2011-09-15 |
| 1215018916 | Chiropractic Health and Wellness Center of Wautoma, Inc | Chiropractor | 200 N Oakridge Ct, Wautoma, WI 54982-8405 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| 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.