DR. TIMOTHY KEVIN TOUGAS (NPI# 1093711491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093711491 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY KEVIN TOUGAS |
| Credential | DPM |
| Practice Address |
1301 E Northland Ave Suite B Appleton WI 54911-8582 |
| Mailing Address |
1301 E Northland Ave Ste B Appleton WI 54911-8582 |
| Practice Telephone | 9207311999 |
| Practice Fax Number | 9207313729 |
| Mailing Telephone | 9207311999 |
| Mailing Fax Number | 9207313729 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2011-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
604-025 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
604-025 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA NUMBER | BT1034026 | 01 |
| WI | 43222200 | 05 | |
| WI | BLUE CROSS BLUE SHIELD | 391776284013 | 01 |
| Street Address |
1301 E NORTHLAND AVE SUITE B |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-8582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023105772 | Paul K Thompson | Optometrist | 1301 E Northland Ave, Suite A, Appleton, WI 54911-8582 | 2006-10-06 |
| 1487697959 | Mark C Austin | Ophthalmology | 1301 E Northland Ave, Ste A, Appleton, WI 54911-8426 | 2006-06-13 |
| 1053359992 | Eyewear Specialists, Inc | Eyewear Supplier (Equipment, not the service) | 1301 E Northland Ave, Ste A, Appleton, WI 54911-8426 | 2006-06-03 |
| 1093716177 | Northeast Wisconsin Foot and Ankle Assoc., S.c. | Podiatrist | 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 | 2005-08-10 |
| 1043210594 | Theresa Lynn Schinke | Podiatrist | 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716177 | Northeast Wisconsin Foot and Ankle Assoc., S.c. | Podiatrist | 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 | 2005-08-10 |
| 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 |
| 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 |
| 1063534030 | Foot and Ankle Associates of Wi Ltd | Podiatrist | 2835 N Grandview Blvd, Ste 300, Pewaukee, WI 53072 | 2007-04-03 |
| 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 |
| 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.