STEPHEN C BOGUE (NPI# 1184632341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184632341 |
| Entity Type | Individual |
| Full Name | STEPHEN C BOGUE |
| Credential | DPM |
| Practice Address |
6661 Odana Road Madison WI 53719 |
| Practice Telephone | 6088292535 |
| Practice Fax Number | 6088291319 |
| Mailing Telephone | 6088292535 |
| Mailing Fax Number | 6088291319 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
730 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
730 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
730 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43221700 | 05 |
| Street Address |
6661 ODANA ROAD |
| City | MADISON |
| State | WI |
| Zip Code | 53719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577854 | Steven J. Merckx | Podiatrist | 6661 Odana Road, Madison, WI 53719 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740309590 | Madison Foot Clinic, Pllc | Podiatrist | 980 Highway 51 Ste B, Madison, MS 39110-8409 | 2007-03-29 |
| 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 |
| 1063534030 | Foot and Ankle Associates of Wi Ltd | Podiatrist | 2835 N Grandview Blvd, Ste 300, Pewaukee, WI 53072 | 2007-04-03 |
| 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.