MIDWEST FOOT & ANKLE SPECIALISTS (NPI# 1619374584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374584 |
| Entity Type | Organization |
| Organization Name | MIDWEST FOOT & ANKLE SPECIALISTS |
| Practice Address |
3915 W Capitol Dr Milwaukee WI 53216-2528 |
| Mailing Address |
7940 Farmhouse Rd Frankfort IL 60423-6810 |
| Practice Telephone | 8663351091 |
| Practice Fax Number | 8663351091 |
| Mailing Telephone | 8663351091 |
| Mailing Fax Number | 8663351091 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | DR. JEROME R RANDALL JR. (MEMBER) |
| Authorized Official Telephone | 8663351091 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 858-25 | WI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3915 W CAPITOL DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356372866 | R Flippin Sc | Podiatrist | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2006-07-05 |
| 1194123513 | Yomex | Durable Medical Equipment & Medical Supplies | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-12-17 |
| 1730586561 | Midwest Foot & Ankle Surgical Center | Clinic/Center | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-11-21 |
| 1932265469 | Urban Foot Care Surgical Center LLC | Clinic/Center | 3915 W Capitol Dr, #a, Milwaukee, WI 53216-2528 | 2006-12-29 |
| 1104925965 | Pamela Wilson Humes | Podiatrist | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2006-09-21 |
| 1720019250 | Regina Flippin | Podiatrist | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| 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 |
|---|---|---|---|---|
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| 1326124694 | Alan L Balkansky Dpmsc | Podiatrist | 5404a N Lovers Lane Rd, Milwaukee, WI 53225-3006 | 2006-10-31 |
| 1295819118 | North Shore Podiatry, Inc. | Podiatrist | 8003 N Port Washington Rd, Milwaukee, WI 53217-2647 | 2006-10-25 |
| 1346251303 | Jeffrey A Fischer | Podiatrist | 9226 W Burleigh St, Milwaukee, WI 53222-3503 | 2006-08-11 |
| 1235165002 | Steven Eric Kaufman | Podiatrist | 3615 W Oklahoma Ave, Milwaukee, WI 53215-4100 | 2006-06-24 |
| 1457301228 | Steven Frydman | Podiatrist | 7929 N 76th St, Milwaukee, WI 53223-3947 | 2006-05-11 |
| 1427049279 | Community Foot and Ankle Clinic, Inc. | Podiatrist | 4100 S Howell Ave, Milwaukee, WI 53207-4410 | 2005-11-01 |
| 1174529671 | Warren K Mciver | Podiatrist | 7903 West Capitol Drive, Milwaukee, WI 53222-1903 | 2005-06-21 |
| 1952306896 | Louis Robert Lapow | Podiatrist | 4220 S 27th St, Ste 101, Milwaukee, WI 53221-1855 | 2005-06-16 |
| Find all providers in MILWAUKEE | ||||
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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.