FOOT FACTOR PODIATRY LLC (NPI# 1124688114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124688114 |
| Entity Type | Organization |
| Organization Name | FOOT FACTOR PODIATRY LLC |
| Practice Address |
6125 Green Bay Rd Ste 600 Kenosha WI 53142-2928 |
| Mailing Address |
5605 Cambridge Ln Unit 2 Mount Pleasant WI 53406-2889 |
| Practice Telephone | 8772871962 |
| Practice Fax Number | 8772871962 |
| Mailing Telephone | 3127208410 |
| Mailing Fax Number | 8772871962 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | DR. DONNA J HAYES (OWNER/CEO) |
| Authorized Official Telephone | 8772971962 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
6125 GREEN BAY RD STE 600 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477758035 | Matthew D Sorensen | Podiatrist | 10105 74th St Ste 101, Kenosha, WI 53142 | 2007-06-15 |
| 1710996475 | H.r. Reinherz Dpm,sc | Podiatrist | 6801 Sheridan Rd, Kenosha, WI 53143-1321 | 2006-08-05 |
| 1821092420 | John L Bostanche | Podiatrist | 6123 Green Bay Rd, Ste 100, Kenosha, WI 53142-2939 | 2005-06-10 |
| 1518394550 | Family Foot & Ankle Clinics of Wisconsin,llc | Podiatrist | 3535 30th Ave, Ste 203, Kenosha, WI 53144-1632 | 2013-10-05 |
| 1487957155 | E Bruns Foot and Ankle Sc | Podiatrist | 9916 75th St, Suite 201, Kenosha, WI 53142-7583 | 2010-12-17 |
| 1770819567 | William Allen Yoder | Podiatrist | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | 2009-10-28 |
| 1417141227 | Family Foot Clinics of Wisconsin Sc | Podiatrist | 3535 30th Ave, #203, Kenosha, WI 53144-1632 | 2007-09-05 |
| 1295941409 | Great Lakes Foot & Ankle Centers Inc | Podiatrist | 6123 Green Bay Rd, Suite 100, Kenosha, WI 53142-2927 | 2007-05-15 |
| 1356418800 | Wisconsin Foot & Ankle Center LLC | Podiatrist | 10105 74th St, Suite 101, Kenosha, WI 53142-7519 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
| 1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
| 1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
| 1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
| 1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
| 1861627184 | Ivelisse Vargas Jon | Podiatrist | 6510 W Layton Ave Ste 102, Greenfield, WI 53220-4563 | 2009-05-17 |
| 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.