DR. GREGG A NOWAK (NPI# 1760540611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760540611 |
Entity Type | Individual |
Full Name | DR. GREGG A NOWAK |
Credential | DC |
Practice Address |
4600 W Loomis Rd Ste 110 Greenfield WI 53220-4858 |
Mailing Address |
4600 W Loomis Rd Ste 110 Greenfield WI 53220-4858 |
Practice Telephone | (414) 481-1021 |
Practice Fax Number | 4144813044 |
Mailing Telephone | (414) 481-1021 |
Mailing Fax Number | 4144813044 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2017-09-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2104 | WI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE PIN | 70560 | 01 |
Street Address |
4600 W LOOMIS RD STE 110 |
City | GREENFIELD |
State | WI |
Zip Code | 53220-4858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467670547 | Nowak & Lewis Chiropractic S.c. | Chiropractor | 4600 W Loomis Rd Ste 110, Greenfield, WI 53220-4858 | 2007-04-23 |
1992863831 | Jeffrey M Oles | Chiropractor | 4600 W Loomis Rd Ste 110, Greenfield, WI 53220-4858 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
Find all providers in zip 53220 |
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 |
---|---|---|---|---|
1568644060 | Scott J. Wagenknecht, LLC | Chiropractor | 8405 W Forest Home Ave Ste 101, Greenfield, WI 53228-3407 | 2007-11-27 |
1427102953 | Steven G Smith | Chiropractor | 504 Jefferson St, Greenfield, OH 45123 | 2007-01-22 |
1801943147 | Daniel P. Benoit | Chiropractor | 59 Riddell St, Greenfield, MA 01301-2001 | 2007-01-05 |
1659433852 | Wayne Garfinkel | Chiropractor | 21 Mohawk Trl, Greenfield, MA 01301-3206 | 2006-12-14 |
1972671097 | Kenneth J Kerwin | Chiropractor | 8081 W Layton Ave, Greenfield, WI 53220-3712 | 2006-11-30 |
1417024365 | Joshua Amyas Rardin | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2006-11-29 |
1346315686 | Jeffrey Alan Denny | Chiropractor | 77 Mohawk Trail, Greenfield, MA 01301 | 2006-11-21 |
1912070160 | Joseph M Pellegrino | Chiropractor | 83 Congress St, Greenfield, MA 01301-3549 | 2006-11-16 |
1063592335 | C A R E Chiropractic Inc | Chiropractor | 309 Jefferson St, Greenfield, OH 45123-1352 | 2006-10-17 |
1174615975 | Timothy John Jensen | Chiropractor | 101 Sw Jackson St, Greenfield, IA 50849-1356 | 2006-09-29 |
Find all providers in GREENFIELD |
City | GREENFIELD |
Zip Code | 53220 |
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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.