ADVANCED FOOT & ANKLE OF WISCONSIN LLC (NPI# 1881096139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881096139 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT & ANKLE OF WISCONSIN LLC |
| Practice Address |
1050 S Milwaukee Avenue Ste 102 Burlington WI 53105-5310 |
| Mailing Address |
1050 S Milwaukee Avenue Ste 102 Burlington WI 53105-1380 |
| Practice Telephone | 2627639007 |
| Practice Fax Number | 2627638184 |
| Mailing Telephone | 2627639007 |
| Mailing Fax Number | 2627586134 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | MICHAEL E KOKAT (COO) |
| Authorized Official Telephone | 2627639007 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 924-025 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100004361 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679608392 | Advanced Foot & Ankle of Wisconsin LLC | Clinic/Center | 1050 S Milwaukee Avenue, Ste 102, Burlington, WI 53105-5310 | 2007-02-22 |
| 1962756270 | Advanced Foot & Ankle of Wisconsin LLC | Durable Medical Equipment & Medical Supplies | 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045-2755 | 2012-11-08 |
| Street Address |
1050 S MILWAUKEE AVENUE STE 102 |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679608392 | Advanced Foot & Ankle of Wisconsin LLC | Clinic/Center | 1050 S Milwaukee Avenue, Ste 102, Burlington, WI 53105-5310 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883673 | Triad Mobility & Supply LLC | Durable Medical Equipment & Medical Supplies | 2378 Corporation Pkwy Ste D, Burlington, NC 27215-6749 | 2020-02-17 |
| 1831658509 | Surecare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 236 N Mebane St Ste 124, Burlington, NC 27217-3900 | 2019-03-13 |
| 1417462888 | Integrity Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 236 N Mebane St Ste 121, Burlington, NC 27217-3900 | 2017-12-07 |
| 1992223853 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2294 N Church St, Burlington, NC 27217-3111 | 2017-08-31 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1114453289 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2495 Corporation Pkwy, Burlington, NC 27215-9863 | 2017-05-10 |
| 1831550805 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 3344 S Church St, Burlington, NC 27215-9150 | 2016-03-17 |
| 1720454531 | Regional Home Care Inc | Durable Medical Equipment & Medical Supplies | 149 Middlesex Tpke, Burlington, MA 01803-4425 | 2015-08-16 |
| 1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
Please comment or provide details below to improve the information on ADVANCED FOOT & ANKLE OF WISCONSIN LLC.
| 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.