FOOT AND ANKLE ASSOCIATES OF WI LTD (NPI# 1063534030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063534030 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE ASSOCIATES OF WI LTD |
| Practice Address |
2835 N Grandview Blvd Ste 300 Pewaukee WI 53072 |
| Mailing Address |
2835 N Grandview Blvd Suite 300 Pewaukee WI 53072-5546 |
| Practice Telephone | 2625423779 |
| Practice Fax Number | 2625424428 |
| Mailing Telephone | 2625423779 |
| Mailing Fax Number | 2625424428 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | DR. THOMAS ANTHONY PIETROCARLO (DOCTOR) |
| Authorized Official Telephone | 2625423779 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | GRP NPI | 1063534030 | 01 |
| WI | SHAWN M SANICOLA NPI | 1457356305 | 01 |
| WI | JAMES R VAVRA NPI | 1619969391 | 01 |
| WI | THOMAS A PIETROCARLO NPI | 1952393738 | 01 |
| Street Address |
2835 N GRANDVIEW BLVD STE 300 |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462319 | Mary Colleen Daly | Specialist/Technologist | 2835 N Grandview Blvd, Siute 100, Pewaukee, WI 53072-5531 | 2006-07-20 |
| 1396196424 | Cassandra Young | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2016-06-30 |
| 1417306853 | Michael Branda | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2016-06-07 |
| 1790152288 | Rebecca Gray | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2015-08-31 |
| 1376966580 | Bobbiejo Paul | Nurse Practitioner | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2014-01-23 |
| 1538581418 | Athletic and Therapeutic Institute of Milwaukee, LLC | Nurse Practitioner | 2835 N Grandview Blvd, Ste 100, Pewaukee, WI 53072-5546 | 2014-01-13 |
| 1609131275 | Britni Dworak | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2012-07-10 |
| 1215296249 | Maria Kohlwey | Specialist/Technologist | 2835 N Grandview Blvd, Ste. 100, Pewaukee, WI 53072-5546 | 2012-05-11 |
| 1639481559 | Amy L Setz | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2010-07-08 |
| 1063660751 | Amy Louise Galati | Podiatrist | 2835 N Grandview Blvd, 300, Pewaukee, WI 53072-5546 | 2008-09-05 |
| Find all providers in the same location | ||||
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700126562 | Antonio Ippolito Montemurro | Podiatrist | 9697 Saint Catherines Dr Ste 300, Pleasant Prairie, WI 53158-2118 | 2013-02-15 |
| 1588706626 | Northland Podicare Ltd. | Podiatrist | 9251 County Rd J, Minocqua, WI 54548-9251 | 2007-02-13 |
| 1184610685 | Garry M Martin | Podiatrist | 503 S Chestnut Ave, Marshfield, WI 54449-3605 | 2005-09-21 |
| 1093711491 | Timothy Kevin Tougas | Podiatrist | 1301 E Northland Ave, Suite B, Appleton, WI 54911-8582 | 2005-06-22 |
| 1447645080 | Morgan Mack | Podiatrist | 201 Cedar Falls Rd, Menomonie, WI 54751 | 2015-03-31 |
| 1144615907 | Samuel Elsner | Podiatrist | 201 Cedar Falls Rd, Menomonie, WI 54751 | 2015-03-30 |
| 1235561473 | Family Foot & Ankle Clinics of Wisconsin LLC | Podiatrist | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | 2013-07-30 |
| 1184632341 | Stephen C Bogue | Podiatrist | 6661 Odana Road, Madison, WI 53719 | 2006-08-04 |
| 1386668143 | Thomas Evan Sinnett | Podiatrist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-26 |
| 1295758787 | Daniel Scott Toutant | Podiatrist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-25 |
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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.