MIDWEST FOOT & ANKLE SURGICAL CENTER (NPI# 1730586561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730586561 |
| Entity Type | Organization |
| Organization Name | MIDWEST FOOT & ANKLE SURGICAL CENTER |
| 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 | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| 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 |
| 1619374584 | Midwest Foot & Ankle Specialists | Podiatrist | 3915 W Capitol Dr, Milwaukee, WI 53216-2528 | 2014-11-20 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1154795649 | Affiliated Surgery Center Inc | Clinic/Center | 4113 N. Port Washington Rd, Milwaukee, WI 53212 | 2015-11-20 |
| 1720413073 | Jacob L Golding | Clinic/Center | 7300 N Beach Dr, Milwaukee, WI 53217-3661 | 2013-09-05 |
| 1346372240 | United Medical Center, LLC | Clinic/Center | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 | 2007-03-09 |
| 1457306888 | Pmtc Surgery Center, Inc | Clinic/Center | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-05-24 |
| 1750358453 | Center for Digestive Health Ltd | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 1030, Milwaukee, WI 53215-3669 | 2006-03-02 |
| 1508851213 | Froedtert Surgery Center, LLC | Clinic/Center | 840 N 87th St, Milwaukee, WI 53226-3586 | 2005-09-19 |
| 1104811918 | North Shore Surgical Center A Wi | Clinic/Center | 7007 N Range Line Rd, Milwaukee, WI 53209-2620 | 2005-09-19 |
| 1871847319 | Wisconsin Laser and Surgery Center LLC | Clinic/Center | 10200 W Innovation Dr, Ste 700, Milwaukee, WI 53226-4825 | 2012-11-06 |
| 1043579741 | Pain Centers of Wisconsin - Wauwatosa, LLC | Clinic/Center | 959 N Mayfair Rd, Milwaukee, WI 53226-3465 | 2012-05-15 |
| 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.