DR. RYAN THOMAS MACKEY (NPI# 1295982668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295982668 |
| Entity Type | Individual |
| Full Name | DR. RYAN THOMAS MACKEY |
| Credential | DPM |
| Practice Address |
1001 W Main St Waupun WI 53963-1601 |
| Practice Telephone | 9203613063 |
| Practice Fax Number | 9203617317 |
| Mailing Telephone | 9203249301 |
| Mailing Fax Number | 9203249473 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD-0000708 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE | P01735659 | 01 |
| TX | RAILROAD MEDICARE | P01736047 | 01 |
| TX | 305219302 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083068704 | Ryan Matthew Mackey | Physical Therapy Assistant | 483 Belden St Apt A, Monterey, CA 93940 | 2016-04-19 |
| 1346542776 | Ryan Lee Mackey | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2010-11-17 |
| 1285664334 | Ryan J Mackey | Physical Therapist | 4310 Londonderry Rd, 2nd Floor, Harrisburg, PA 17109-5300 | 2006-07-04 |
| Street Address |
1001 W MAIN ST |
| City | WAUPUN |
| State | WI |
| Zip Code | 53963-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972879641 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1001 W Main St, Waupun, WI 53963-1601 | 2012-03-28 |
| 1598081846 | Ripon Medical Center | Prosthetic/Orthotic Supplier | 1001 W Main St, Waupun, WI 53963-1601 | 2010-04-12 |
| 1861577876 | Glenn F Devries | Podiatrist | 1001 W Main St, Waupun, WI 53963-1601 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195772 | Ryan Schmitt | Specialist/Technologist | 411 Edgewood Drive, Waupun, WI 53963 | 2017-03-20 |
| 1154727758 | Above and Beyond Care Solutions LLC | In Home Supportive Care | 1013 Church Street, Waupun, WI 53963 | 2014-11-08 |
| 1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
| 1699904680 | Olson Eye Care LLC | Optometrist | 537 E Main Street, Waupu, WI 53963 | 2009-07-10 |
| 1588817365 | Senior Community Center Management of Waupun, LLC | Assisted Living Facility | 450 E Franklin Street, Waupun, WI 53963 | 2008-10-24 |
| 1013178367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 E Main St, Waupun, WI 53963 | 2008-06-19 |
| 1568582807 | Todd Richard Callister | Psychiatry & Neurology | 200 South Madison St, Waupun, WI 53963 | 2007-03-30 |
| 1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
| 1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
| 1477537249 | Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963 | 2005-12-05 |
| Find all providers in zip 53963 | ||||
| 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 |
|---|---|---|---|---|
| 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.