FAMILY FOOT CLINICS OF WISCONSIN SC (NPI# 1417141227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417141227 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT CLINICS OF WISCONSIN SC |
| Other Organization Name | NONE |
| Practice Address |
3535 30th Ave #203 Kenosha WI 53144-1632 |
| Mailing Address |
3535 30th Ave 203 Kenosha WI 53144-1632 |
| Practice Telephone | 2626576104 |
| Practice Fax Number | 2626576194 |
| Mailing Telephone | 2626378806 |
| Mailing Fax Number | 2626372868 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DR. ALYSSA K STEPHENSON (PRESIDENT) |
| Authorized Official Telephone | 2626378806 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43260300 | 05 |
| Other Name | Type Code |
|---|---|
| none | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568734044 | Family Foot Clinics of Wisconsin Sc | Podiatrist | 5802 Washington Ave, Suite 103, Racine, WI 53406-4050 | 2012-01-31 |
| Street Address |
3535 30TH AVE #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 |
| 1235561473 | Family Foot & Ankle Clinics of Wisconsin LLC | Podiatrist | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | 2013-07-30 |
| 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 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
| 1477758035 | Matthew D Sorensen | Podiatrist | 10105 74th St Ste 101, Kenosha, WI 53142 | 2007-06-15 |
| 1710996475 | H.r. Reinherz Dpm,sc | Podiatrist | 6801 Sheridan Rd, Kenosha, WI 53143-1321 | 2006-08-05 |
| 1821092420 | John L Bostanche | Podiatrist | 6123 Green Bay Rd, Ste 100, Kenosha, WI 53142-2939 | 2005-06-10 |
| 1518394550 | Family Foot & Ankle Clinics of Wisconsin,llc | Podiatrist | 3535 30th Ave, Ste 203, Kenosha, WI 53144-1632 | 2013-10-05 |
| 1487957155 | E Bruns Foot and Ankle Sc | Podiatrist | 9916 75th St, Suite 201, Kenosha, WI 53142-7583 | 2010-12-17 |
| 1770819567 | William Allen Yoder | Podiatrist | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | 2009-10-28 |
| 1295941409 | Great Lakes Foot & Ankle Centers Inc | Podiatrist | 6123 Green Bay Rd, Suite 100, Kenosha, WI 53142-2927 | 2007-05-15 |
| 1356418800 | Wisconsin Foot & Ankle Center LLC | Podiatrist | 10105 74th St, Suite 101, Kenosha, WI 53142-7519 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
| 1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
| 1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
| 1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
| 1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
| 1861627184 | Ivelisse Vargas Jon | Podiatrist | 6510 W Layton Ave Ste 102, Greenfield, WI 53220-4563 | 2009-05-17 |
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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.