BARRY ELLIS ERDMAN (NPI# 1245210624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245210624 |
| Entity Type | Individual |
| Full Name | BARRY ELLIS ERDMAN |
| Credential | DPM |
| Practice Address |
2005 S Lake Park Rd Appleton WI 54915-4155 |
| Mailing Address |
2005 S Lake Park Rd Appleton WI 54915 |
| Practice Telephone | 9208829990 |
| Practice Fax Number | 9208829544 |
| Mailing Telephone | 9208829990 |
| Mailing Fax Number | 9208829544 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2008-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 616025 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ANTHEM BLUE CROSS BLUE S | 010556903-011 | 01 |
| WI | 43206700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194874008 | Barry Erdman | Social Worker | 3450 Penrose Pl, Suite 210, Boulder, CO 80301-1828 | 2007-01-09 |
| Street Address |
2005 S LAKE PARK RD |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467854943 | Renard Foot Specialist At North Shore LLC | Podiatrist | 2005 S Lake Park Rd, Appleton, WI 54915-4155 | 2014-09-16 |
| 1780884726 | North Shore Foot & Ankle, S.c. | Podiatrist | 2005 S Lake Park Rd, Appleton, WI 54915-4155 | 2007-07-18 |
| 1184837353 | North Shore Foot & Ankle Surgery Center, LLC | Clinic/Center | 2005 S Lake Park Rd, Appleton, WI 54915-4155 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 1518958925 | Dirk Saul Halverson | Podiatrist | 436 E Longview Dr, Suite A, Appleton, WI 54911 | 2005-11-03 |
| 1841282068 | Lee Arthur Klauk | Podiatrist | 209 N Richmond St, Appleton, WI 54911-4637 | 2005-08-16 |
| 1780884726 | North Shore Foot & Ankle, S.c. | Podiatrist | 2005 S Lake Park Rd, Appleton, WI 54915-4155 | 2007-07-18 |
| 1598781452 | James J Doty I | Podiatrist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2006-07-14 |
| 1407825029 | David E Miller | Podiatrist | 1531 S Madison St, Appleton, WI 54915 | 2006-03-16 |
| 1457328320 | Richard Eric Hammond | Podiatrist | 1531 S Madison St, 4th Floor (orthopedics and Podiatry), Appleton, WI 54915-1800 | 2006-03-01 |
| 1043210594 | Theresa Lynn Schinke | Podiatrist | 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 | 2005-07-27 |
| 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.