Moira Martin (NPI# 1891202032, PAC ID# 1658632120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1891202032 |
| PAC ID by PECOS | 1658632120 |
| Professional Enrollment ID | I20180223002100 |
| Full Name | Moira Martin |
| Organization Legal Name | ELITE SPORT AND SPINE, LLC |
| Address |
19575 Janacek Ct Suite 103 Brookfield WI 53045-7101 |
| Phone Number | 2622899220 |
| Gender | F |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 4880822345 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19575 Janacek Ct, Suite 103, Brookfield, WI 53045-7101 | 2622899220 | ELITE SPORT AND SPINE, LLC |
| Organization Legal Name | ELITE SPORT AND SPINE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zacharias A Shiels | Chiropractic | Elite Sport and Spine, LLC | 19575 Janacek Ct, Suite 103, Brookfield, WI 53045-7101 |
| Adam Cosson | Chiropractic | Elite Sport and Spine, LLC | 19575 Janacek Ct, Suite 103, Brookfield, WI 53045-7101 |
| Street Address |
19575 JANACEK CT SUITE 103 |
| City | BROOKFIELD |
| State | WI |
| Zip | 53045-7101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zacharias A Shiels | Chiropractic | Elite Sport and Spine, LLC | 19575 Janacek Ct, Suite 103, Brookfield, WI 53045-7101 |
| Adam Cosson | Chiropractic | Elite Sport and Spine, LLC | 19575 Janacek Ct, Suite 103, Brookfield, WI 53045-7101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Moberg Wolff | Physical Medicine and Rehabilitation | 3815 N Brookfield, Suite 264, Brookfield, WI 53045-1964 | |
| Michael Giammarco | Chiropractic | Goodyear Chiropractic Health Center. S.c. | 17495 W Capitol Dr L, Brookfield, WI 53045-2059 |
| Jeffrey T Follansbee | Anesthesiology | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | |
| Robert D Matteucci | Podiatry | Great Midwest Foot and Ankle Centers, S.c. | 17495 W Capitol Dr, Suite L, Brookfield, WI 53045-2059 |
| Phillip E Roy | Optometry | 17495 W Capitol Dr, Suite D, Brookfield, WI 53045-2059 | |
| Zachary C Johnson | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc. | 17495 W Capitol Dr, Brookfield, WI 53045-2059 |
| Lynne E Zaborske Roy | Optometry | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | |
| Jacqueline L Landers | Clinical Social Worker | 19275 W Capitol Dr, Suite 200, Brookfield, WI 53045-2734 | |
| Sonya S Trueblood | Psychologist, Clinical | 19275 W Capitol Dr, Suite 200, Brookfield, WI 53045-2734 | |
| Nicholas James Wilson | Chiropractic | 19265 W Capitol Dr B, Brookfield, WI 53045-2740 | |
| Find all physicians in zip 53045 | |||
| City | BROOKFIELD |
| Zip Code | 53045 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BROOKFIELD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Moira Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.