FAMILY FOOT & ANKLE CLINICS OF WISCONSIN LLC (NPI# 1235561473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235561473 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT & ANKLE CLINICS OF WISCONSIN LLC |
| Practice Address |
3535 30th Ave Suite 203 Kenosha WI 53144-1632 |
| Mailing Address |
6123 Green Bay Rd Suite 100 Kenosha WI 53142-2927 |
| Practice Telephone | 2626576104 |
| Mailing Telephone | 2626573668 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | WILLIAM A YODER (DIRECTOR) |
| Authorized Official Telephone | 2626570224 |
| 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 |
| Street Address |
3535 30TH AVE SUITE 203 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895743 | Venkata Krishna Sharma | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144 | 2005-07-20 |
| 1912360819 | Marc Skurski | Pharmacist | 3535 30th Ave, Kenosha, WI 53144-1632 | 2016-03-30 |
| 1518394550 | Family Foot & Ankle Clinics of Wisconsin,llc | Podiatrist | 3535 30th Ave, Ste 203, Kenosha, WI 53144-1632 | 2013-10-05 |
| 1770819567 | William Allen Yoder | Podiatrist | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | 2009-10-28 |
| 1750547964 | Susan J Mcaley | Counselor | 3535 30th Ave, Suite 202, Kenosha, WI 53144-1632 | 2008-08-07 |
| 1932360260 | Tracy E. Williams | Counselor | 3535 30th Ave, Suite 202, Kenosha, WI 53144-1632 | 2008-06-19 |
| 1740466093 | Pamela A. Lamacchia | Counselor | 3535 30th Ave, Suite 202, Kenosha, WI 53144-1632 | 2008-01-17 |
| 1104009240 | Aftab A Ansari, M.d., S.c. | Orthopaedic Surgery | 3535 30th Ave, Suite 101b, Kenosha, WI 53144-1632 | 2007-12-12 |
| 1407039548 | Endocrine Clinic of Kenosha, S.c. | Internal Medicine | 3535 30th Ave, Suite 101b, Kenosha, WI 53144-1632 | 2007-12-12 |
| 1700074986 | Linda S Neal | Counselor | 3535 30th Ave, Suite 202, Kenosha, WI 53144-1632 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| 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 |
| 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.