DR. KEITH A BECK (NPI# 1104877034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104877034 |
| Entity Type | Individual |
| Full Name | DR. KEITH A BECK |
| Credential | DPM |
| Practice Address |
113 W Sunset Dr Waukesha WI 53189-7604 |
| Mailing Address |
4448 Bramblewood Dr Hartford WI 53027-9591 |
| Practice Telephone | 2625472900 |
| Practice Fax Number | 2625471440 |
| Mailing Telephone | 4145301220 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
791-025 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 480033967 | 01 | |
| WI | 43230100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280999 | Keith Beck | Emergency Medicine | 7579 N Loop 1604 W, Suite 101, San Antonio, TX 78249-2781 | 2005-07-29 |
| Street Address |
113 W SUNSET DR |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568559789 | Midwest Foot and Ankle, S.c. | Podiatrist | 113 W Sunset Dr, Waukesha, WI 53189-7604 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969391 | James Robert Vavra | Podiatrist | 2430c N Grandview Blvd, Waukesha, WI 53188-1605 | 2005-08-18 |
| 1003014291 | A Step Ahead Foot Care, S.c. | Podiatrist | 20700 Watertown Rd Ste 200, Waukesha, WI 53186-1800 | 2007-07-10 |
| 1568559789 | Midwest Foot and Ankle, S.c. | Podiatrist | 113 W Sunset Dr, Waukesha, WI 53189-7604 | 2006-10-09 |
| 1952393738 | Thomas Anthony Pietrocarlo | Podiatrist | 2430c N Grandview Blvd, Waukesha, WI 53188-1605 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
| 1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
| 1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
| 1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
| 1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
| 1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
| 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.