RENARD FOOT SPECIALIST AT NORTH SHORE LLC (NPI# 1467854943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467854943 |
| Entity Type | Organization |
| Organization Name | RENARD FOOT SPECIALIST AT NORTH SHORE LLC |
| Practice Address |
2005 S Lake Park Rd Appleton WI 54915-4155 |
| Mailing Address |
Po Box 8031 Appleton WI 54912-8031 |
| Practice Telephone | 9208829990 |
| Practice Fax Number | 9208829544 |
| Mailing Telephone | 8663130337 |
| Mailing Fax Number | 9202241706 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Authorized Official Name | JOHN J RENARD (PRESIDENT) |
| Authorized Official Telephone | 9208829990 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
847-25 | WI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2005 S LAKE PARK RD |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210624 | Barry Ellis Erdman | Podiatrist | 2005 S Lake Park Rd, Appleton, WI 54915-4155 | 2006-01-20 |
| 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 | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378145 | John Julian Renard | Podiatrist | 2005 S. Lake Park Rd, Appleton, WI 54915 | 2006-06-27 |
| 1811063274 | Family Foot and Ankle Center, Sc | Podiatrist | 436 E Longview Dr, Suite A, Appleton, WI 54911-2166 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592302 | Third Coast Foot and Ankle Sc | Podiatrist | 7001 S Howell Ave # 500, Oak Creek, WI 53154-1407 | 2020-03-11 |
| 1780878454 | Dr. Donald J. Schneekloth, D.p.m. | Podiatrist | 797 Winneconne Ave., Neenah, WI 54956 | 2007-09-05 |
| 1063614048 | Jack W Hutter Sc | Podiatrist | 422 Summit Ave, Oconomowoc, WI 53066-3749 | 2007-06-02 |
| 1801006986 | Rapids Foot Care Center | Podiatrist | 311 8th St S, Wisconsin Rapids, WI 54494-4622 | 2007-05-23 |
| 1316156318 | Darcia Merritt Dillard | Podiatrist | 11030 W Villa Ave, Milwaukee, WI 53224-2586 | 2007-05-22 |
| 1790819886 | Northwest Surgery Center Inc | Podiatrist | 1233 N Mayfair Rd Ste 304, Milwaukee, WI 53226-3255 | 2007-03-14 |
| 1396822730 | Paul Matthew Zerovec | Podiatrist | 1442 N Farwell Ave Ste 605, Milwaukee, WI 53202-2913 | 2006-11-01 |
| 1194732669 | Glenn A Hansen | Podiatrist | 2331 S Oneida St, Green Bay, WI 54304-5267 | 2006-08-01 |
| 1548294259 | William W Weis | Podiatrist | 331 E Puetz Rd, #105, Oak Creek, WI 53154 | 2006-07-10 |
| 1104878750 | Neal Jay Katz | Podiatrist | 664 W Washington Ave, Madison, WI 53703-2638 | 2006-05-16 |
| 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.