EASTERN PODIATRY PLLC (NPI# 1215487277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215487277 |
| Entity Type | Organization |
| Organization Name | EASTERN PODIATRY PLLC |
| Practice Address |
1800 New York Ave Superior WI 54880-2008 |
| Mailing Address |
2802 Avenue P Brooklyn NY 11229-1810 |
| Practice Telephone | 7189725000 |
| Practice Fax Number | 7189723774 |
| Mailing Telephone | 7189725000 |
| Mailing Fax Number | 7189723774 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | DR. ALAN TAJERSTEIN (OWNER) |
| Authorized Official Telephone | 7189725000 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942526 | Eastern Podiatry Pllc | Podiatrist | 601 E Polk St, Washington, IA 52353-1238 | 2018-02-14 |
| 1376075531 | Eastern Podiatry Pllc | Podiatrist | 620 W Strub Rd, Sandusky, OH 44870-5779 | 2017-03-28 |
| 1760723936 | Eastern Podiatry Pllc | Podiatrist | 8080 S Harlem Ave, Bridgeview, IL 60455-1570 | 2013-03-12 |
| 1235433327 | Eastern Podiatry Pllc | Podiatrist | 620 Montgomery St, Jersey City, NJ 07302-3130 | 2011-01-04 |
| 1659687952 | Eastern Podiatry Pllc | Podiatrist | 1 Eastern Blvd, Essex, MD 21221-7016 | 2010-08-24 |
| 1467768838 | Eastern Podiatry Pllc | Podiatrist | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2010-08-24 |
| 1821227299 | Eastern Podiatry Pllc | Podiatrist | 1335 54th St, Brooklyn, NY 11219-4220 | 2009-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EASTERN PODIATRY PLLC | 2802 Avenue P, Brooklyn, New York 11229 |
| Iowa Business Entities | EASTERN PODIATRY PLLC | 2802 Ave P, Brooklyn, NY 11229 |
| New York State Corporations | EASTERN PODIATRY PLLC | 2802 Avenue P, Brooklyn, Ny 11229 |
| Street Address |
1800 NEW YORK AVE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356374367 | Hp Superior Inc | Skilled Nursing Facility | 1800 New York Ave, Superior, WI 54880-2008 | 2006-07-10 |
| 1154963049 | Integrated Wound Care Management Wisconsin LLC | General Practice | 1800 New York Ave, Superior, WI 54880-2008 | 2019-10-11 |
| 1457859837 | Denise Marie Latscher | Occupational Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2018-01-31 |
| 1821520420 | Superior Rehabilitation Center LLC | Skilled Nursing Facility | 1800 New York Ave, Superior, WI 54880-2008 | 2017-04-02 |
| 1053794446 | Superior Wi Management, LLC | Skilled Nursing Facility | 1800 New York Ave, Superior, WI 54880-2008 | 2015-07-02 |
| 1639413701 | Kimberly Wischer | Physical Therapist | 1800 New York Ave, Superior, WI 54880-2008 | 2012-11-15 |
| 1699049841 | Maxine E. Coder | Physical Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2012-03-06 |
| 1659645026 | Susan Kay Ostern | Occupational Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2012-03-02 |
| 1184850026 | Susan Nowak | Physical Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2009-06-05 |
| 1174758551 | Christina Marie Leuzzo | Community Health Worker | 1800 New York Ave, Superior, WI 54880-2008 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649220344 | Ronald A Warcholak | Podiatrist | 109 N 28th St E, Superior, WI 54880-6548 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1588282453 | Family Foot and Ankle Clinic LLC | Podiatrist | 1021 Western Ave Ste C, Mosinee, WI 54455-1511 | 2020-07-08 |
| 1376161240 | Family Foot and Ankle Clinic LLC | Podiatrist | 1439 Churchill St Ste 202, Waupaca, WI 54981-2089 | 2020-07-08 |
| 1083237754 | Baycare Clinic LLP | Podiatrist | 630 Riverfront Dr, Sheboygan, WI 53081-4615 | 2020-05-28 |
| 1922637107 | Torhorst Foot and Ankle Clinic, Sc | Podiatrist | 2823 Post Rd, Stevens Point, WI 54481-6416 | 2020-04-08 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1912310152 | Wyatt Isaac Wiedenfeld | Podiatrist | 853 S Main St, Oconto Falls, WI 54154-1203 | 2014-06-05 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1972856169 | Midwest Foot and Wound Care Center LLC | Podiatrist | W3853 Stoneridge Dr, Fond Du Lac, WI 54937-6201 | 2012-10-25 |
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
| 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.