FAMILY FOOT AND ANKLE CLINIC LLC (NPI# 1912525882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912525882 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT AND ANKLE CLINIC LLC |
| Practice Address |
611 Veterans Pkwy Woodruff WI 54568-9195 |
| Mailing Address |
5403 Normandy St Weston WI 54476-2217 |
| Practice Telephone | 7152418100 |
| Mailing Telephone | 7152418100 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | JOEL J TIKALSKY (PRESIDENT) |
| Authorized Official Telephone | 7152418100 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY FOOT AND ANKLE CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| 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 |
| 1659439321 | Family Foot and Ankle Clinic LLC | Podiatrist | 5403 Normandy St, Weston, WI 54476-2217 | 2006-12-05 |
| 1558989426 | Family Foot and Ankle Clinic LLC | Podiatrist | 140 Wilshire Blvd N, Stevens Point, WI 54481-1360 | 2020-07-08 |
| 1851919773 | Family Foot and Ankle Clinic LLC | Podiatrist | 117 Main St, Marathon, WI 54448-9646 | 2020-07-07 |
| 1457979379 | Family Foot and Ankle Clinic LLC | Podiatrist | 115 Alpine Ct, Shawano, WI 54166-2048 | 2020-07-07 |
| 1184242000 | Family Foot and Ankle Clinic LLC | Podiatrist | 100 S Court St, Merrill, WI 54452-2514 | 2020-07-07 |
| 1467070383 | Family Foot and Ankle Clinic LLC | Podiatrist | 720 Ackley St, Antigo, WI 54409-2405 | 2020-07-07 |
| Street Address |
611 VETERANS PKWY |
| City | WOODRUFF |
| State | WI |
| Zip Code | 54568-9195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891995056 | Katy Ellingson | Physician Assistant | 611 Veterans Pkwy, Woodruff, WI 54568-9195 | 2007-07-24 |
| 1184955981 | Northwoods Anesthesia Associates, S. C. | Nurse Anesthetist, Certified Registered | 611 Veterans Pkwy, Woodruff, WI 54568-9195 | 2010-01-19 |
| 1407046436 | Northwoods Surgery Center, LLC | Clinic/Center | 611 Veterans Pkwy, Woodruff, WI 54568 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| 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 |
|---|---|---|---|---|
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1396968673 | Mindy Lee Wolf | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1285757872 | Comprehensive Foot & Ankle, Sc | Podiatrist | 311 Elm St, Woodruff, WI 54568-9149 | 2007-04-09 |
| 1235125204 | David C Larsen | Podiatrist | 311 Elm St, Woodruff, WI 54568-9149 | 2005-09-23 |
| 1316933542 | Shannon S Meyer | Podiatrist | 311 Elm St, Woodruff, WI 54568-9149 | 2005-09-22 |
| 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 |
| 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.