FAMILY FOOT AND ANKLE CLINIC LLC


Address: 1439 Churchill St Ste 202, Waupaca, WI 54981-2089
Phone: 7152418100

FAMILY FOOT AND ANKLE CLINIC LLC (NPI# 1376161240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376161240
Entity Type Organization
Organization Name FAMILY FOOT AND ANKLE CLINIC LLC
Practice Address 1439 Churchill St Ste 202
Waupaca
WI 54981-2089
Mailing Address 5403 Normandy St
Weston
WI 54476-2217
Practice Telephone 7152418100
Mailing Telephone 7152418100
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Authorized Official Name DR. JOEL J TIKALSKY (PRESIDENT)
Authorized Official Telephone 7152418100
Authorized Official Credential DPM
Is Organization Subpart Y
Parent Organization Name FAMILY FOOT AND ANKLE CLINIC, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers

Other Provider IDs and Locations

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
1659439321 Family Foot and Ankle Clinic LLC Podiatrist 5403 Normandy St, Weston, WI 54476-2217 2006-12-05
1912525882 Family Foot and Ankle Clinic LLC Podiatrist 611 Veterans Pkwy, Woodruff, WI 54568-9195 2020-07-08
1558989426 Family Foot and Ankle Clinic LLC Podiatrist 140 Wilshire Blvd N, Stevens Point, WI 54481-1360 2020-07-08
1851919773 Family Foot and Ankle Clinic LLC Podiatrist 117 Main St, Marathon, WI 54448-9646 2020-07-07
1457979379 Family Foot and Ankle Clinic LLC Podiatrist 115 Alpine Ct, Shawano, WI 54166-2048 2020-07-07
1184242000 Family Foot and Ankle Clinic LLC Podiatrist 100 S Court St, Merrill, WI 54452-2514 2020-07-07
1467070383 Family Foot and Ankle Clinic LLC Podiatrist 720 Ackley St, Antigo, WI 54409-2405 2020-07-07

Office Location

Street Address 1439 CHURCHILL ST STE 202
City WAUPACA
State WI
Zip Code 54981-2089

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366096141 Renee Elizabeth Winn Speech-Language Pathologist 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 2019-07-30
1891263216 Stephanie Rice Dental Hygienist N4008 Morgan Dr, Waupaca, WI 54981 2018-11-03
1972092989 Renew Physical Therapy and Wellness, LLC Physical Therapist N2919 County Road Qq, Waupaca, WI 54981 2018-05-04
1366942195 Lanna Boyle Physical Medicine & Rehabilitation E1132 Hillcrest Dr, Waupaca, WI 54981 2018-02-19
1710333893 Thedacare Medical Center - Waupaca, Inc. General Acute Care Hospital N2610 Wi 22, Waupaca, WI 54981 2016-05-09
1750743365 Kimberly Marie Kraeger Counselor Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 2016-03-23
1619211596 Kari Anna Esbensen Counselor N2919 Cty Qq, Waupaca, WI 54981 2012-11-16
1396027629 Roots Wholistic Health Chiropractor 717 Churchill St., Waupaca, WI 54981 2011-09-13
1629387006 Barton Jerome Blum General Practice E1803 Melody Lane, Waupaca, WI 54981 2010-10-01
1710219357 Anne Marie Collins-reed Social Worker 315 River Road, New London, WI 54981 2010-02-08
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285993220 Torhorst Foot and Ankle Clinic, Sc Podiatrist 1439 Churchill St # 202, Waupaca, WI 54981-2089 2012-05-11

Providers in the same taxonomy and state

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
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
1366724478 Visiting Md Ltd Podiatrist 2426 N Grandview Blvd Ste D, Waukesha, WI 53188-6905 2011-09-14
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Competitor

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City WAUPACA
Zip Code 54981

Improve Information

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Dataset Information

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.

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