NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.


Address: 225 Memorial Dr, Berlin, WI 54923-1243
Phone: 9203616285

NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C. (NPI# 1891291167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891291167
Entity Type Organization
Organization Name NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.
Practice Address 225 Memorial Dr
Berlin
WI 54923-1243
Mailing Address 1301 E Northland Ave Ste B
Appleton
WI 54911-8582
Practice Telephone 9203616285
Practice Fax Number 9203615335
Mailing Telephone 9207025484
Mailing Fax Number 9202247925
Enumeration Date 2018-04-04
Last Update Date 2018-04-04
Authorized Official Name MARILOU SCHNADERBECK (BUSINESS MANAGER)
Authorized Official Telephone 9207025484
Is Organization Subpart Y
Parent Organization Name NORTHEAST WISCONSIN FOOT & ANKLE ASSOC., S.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093716177 Northeast Wisconsin Foot and Ankle Assoc., S.c. Podiatrist 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 2005-08-10

Office Location

Street Address 225 MEMORIAL DR
City BERLIN
State WI
Zip Code 54923-1243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962403832 M Jean Bruce Family Medicine 225 Memorial Dr, Suite 1200, Berlin, WI 54923-1243 2005-08-02
1841814472 Benjamin John Kozloski Nurse Anesthetist, Certified Registered 225 Memorial Dr, Berlin, WI 54923-1243 2020-05-29
1003439720 Courtney Disterhaft Physical Therapist 225 Memorial Dr, Berlin, WI 54923-1243 2020-05-28
1457911984 Nolan S Baker Speech-Language Pathologist 225 Memorial Dr, Berlin, WI 54923-1243 2019-06-17
1477043313 Lina D Ramos Registered Nurse 225 Memorial Dr, Berlin, WI 54923 2018-05-16
1437606373 Sherry Lynn Reinsbach Occupational Therapy Assistant 225 Memorial Dr, Berlin, WI 54923-1243 2016-09-08
1528513272 Jessica M Braun Physical Therapy Assistant 225 Memorial Dr, Berlin, WI 54923-1243 2016-08-23
1326592270 Brandon Eric Mcmullen Physical Therapist 225 Memorial Dr, Berlin, WI 54923-1243 2016-08-09
1508310467 Marissa Marie Schleis Physical Therapist 225 Memorial Dr, Berlin, WI 54923-1243 2016-08-09
1558814764 Emily T Engelke Dietitian, Registered 225 Memorial Dr, Berlin, WI 54923-1243 2016-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910067 Mary Ellen F Pumper Pharmacist 861 County Rd F, Berlin, WI 54923 2020-10-21
1962020792 Brown Wilcox Trustees, Inc. Home Health 347 East Huron Street, Berlin, WI 54923 2020-07-08
1083050942 Veterinary Clinic Berlin/ripon Veterinarian W1915 Cty Road F, Berlin, WI 54923 2013-05-20
1114078243 David Earl Johanknecht Optometrist 269 Memorial Dr, Suite 103, Berlin, WI 54923 2007-01-16
1043314677 William Harold Hastreiter Dentist 102 W Huron St, Berlin, WI 54923 2006-09-12
1699725333 Kurt Alan Zemke Dentist 280 South Church St, Berlin, WI 54923 2006-05-11
1942280821 Dina N Nelson Nurse Anesthetist, Certified Registered 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 2006-01-18
1679574453 Craig Batley Family Medicine W832 Hwy 91, Suite 3, Berlin, WI 54923 2005-08-03
1760887392 Waushara Dental Associate Sc Dentist 322 Broadway, Berlin, WI 54923 2014-10-24
1750673513 Kristy E Wagner Occupational Therapy Assistant 225 Memorial Drive, Berlin, WI 54923 2011-05-11
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376521492 David Gannon Podiatrist 9956 N Main St, Suite #5, Berlin, MD 21811-1077 2006-01-09
1104930163 Foot Health Centers, P.a. Podiatrist 175 Cross Keys Rd, Suite 204, Berlin, NJ 08009-9263 2006-08-18
1609989755 William G. Olischar Podiatrist 10031 Old Ocean City Blvd, Berlin, MD 21811-1171 2006-08-15
1609889377 Kevin A. Mcnamara Podiatrist 130 Fisher Rd, Berlin, VT 05602-9516 2006-08-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376161976 Family Foot and Ankle Clinic LLC Podiatrist 1901 Westwood Boulevard, Wausau, WI 54401 2020-07-09
1588282453 Family Foot and Ankle Clinic LLC Podiatrist 1021 Western Ave Ste C, Mosinee, WI 54455-1511 2020-07-08
1376161240 Family Foot and Ankle Clinic LLC Podiatrist 1439 Churchill St Ste 202, Waupaca, WI 54981-2089 2020-07-08
1083237754 Baycare Clinic LLP Podiatrist 630 Riverfront Dr, Sheboygan, WI 53081-4615 2020-05-28
1922637107 Torhorst Foot and Ankle Clinic, Sc Podiatrist 2823 Post Rd, Stevens Point, WI 54481-6416 2020-04-08
1528446713 Jonathan Shih Podiatrist 9200 W Loomis Rd Ste 116, Franklin, WI 53132 2015-05-08
1912310152 Wyatt Isaac Wiedenfeld Podiatrist 853 S Main St, Oconto Falls, WI 54154-1203 2014-06-05
1710397039 Kristina Lorene Thompson Podiatrist 37868 Us-18, Prairie Du Chien, WI 53821 2014-05-08
1972856169 Midwest Foot and Wound Care Center LLC Podiatrist W3853 Stoneridge Dr, Fond Du Lac, WI 54937-6201 2012-10-25
1073880936 Tahir A Khan Podiatrist 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 2011-11-21
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Competitor

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City BERLIN
Zip Code 54923

Improve Information

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Dataset Information

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.

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