FAMILY FOOT AND ANKLE CLINIC LLC (NPI# 1376161976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376161976 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT AND ANKLE CLINIC LLC |
| Practice Address |
1901 Westwood Boulevard Wausau WI 54401 |
| Mailing Address |
5403 Normandy St Weston WI 54476-2217 |
| Practice Telephone | 7152418100 |
| Mailing Telephone | 7152418100 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| Street Address |
1901 WESTWOOD BOULEVARD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| Find all providers in zip 54401 | ||||
| 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 |
|---|---|---|---|---|
| 1669403101 | Anders V Juvonen | Podiatrist | 115 W Bridge St, Wausau, WI 54401-2929 | 2006-07-05 |
| 1346297900 | Thomas G Staysniak | Podiatrist | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-28 |
| 1568456218 | Podiatry Associates of Wausau, S.c. | Podiatrist | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2005-09-08 |
| 1942294699 | Michael Ehrhardt Jourdan | Podiatrist | Podiatry Associates of Wausau, S.c., 1445 Merrill Ave, Wausau, WI 54401 | 2005-09-08 |
| 1093963456 | Wausau Podiatry Center Ltd | Podiatrist | 115 W Bridge St, Wausau, WI 54401-2929 | 2008-08-28 |
| 1164696761 | Paul T Strobel | Podiatrist | 225000 Hummingbird Rd Ste 100, Wausau, WI 54401-2950 | 2008-04-15 |
| 1679674378 | Gregory John Poole | Podiatrist | 2727 Plaza Dr, Wausau, WI 54401 | 2006-09-26 |
| 1205851284 | Dawn J Anderson | Podiatrist | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2006-07-12 |
| 1780663377 | Brent E Zastrow | Podiatrist | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2006-01-11 |
| 1528052024 | Thomas Gregory Landretti | Podiatrist | 1445 Merrill Ave, Podiatry Associates of Wausau, S.c., Wausau, WI 54401-2646 | 2005-09-12 |
| Find all providers in WAUSAU | ||||
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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.