RENARD FOOT SPECIALIST AT NORTH SHORE LLC


Address: 2005 S Lake Park Rd, Appleton, WI 54915-4155
Phone: 9208829990

RENARD FOOT SPECIALIST AT NORTH SHORE LLC (NPI# 1467854943) 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) 1467854943
Entity Type Organization
Organization Name RENARD FOOT SPECIALIST AT NORTH SHORE LLC
Practice Address 2005 S Lake Park Rd
Appleton
WI 54915-4155
Mailing Address Po Box 8031
Appleton
WI 54912-8031
Practice Telephone 9208829990
Practice Fax Number 9208829544
Mailing Telephone 8663130337
Mailing Fax Number 9202241706
Enumeration Date 2014-09-16
Last Update Date 2014-09-16
Authorized Official Name JOHN J RENARD (PRESIDENT)
Authorized Official Telephone 9208829990
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
847-25 WI Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 2005 S LAKE PARK RD
City APPLETON
State WI
Zip Code 54915-4155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245210624 Barry Ellis Erdman Podiatrist 2005 S Lake Park Rd, Appleton, WI 54915-4155 2006-01-20
1780884726 North Shore Foot & Ankle, S.c. Podiatrist 2005 S Lake Park Rd, Appleton, WI 54915-4155 2007-07-18
1184837353 North Shore Foot & Ankle Surgery Center, LLC Clinic/Center 2005 S Lake Park Rd, Appleton, WI 54915-4155 2007-05-07

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1982933479 Stephanie I. Braski Counselor 1531 S. Oneida St, Appleton, WI 54915 2009-12-14
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1700040870 Heidi Jo Van Toll Occupational Therapist 1335 S Oneida Street, Appleton, WI 54915 2008-07-17
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356378145 John Julian Renard Podiatrist 2005 S. Lake Park Rd, Appleton, WI 54915 2006-06-27
1811063274 Family Foot and Ankle Center, Sc Podiatrist 436 E Longview Dr, Suite A, Appleton, WI 54911-2166 2006-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518592302 Third Coast Foot and Ankle Sc Podiatrist 7001 S Howell Ave # 500, Oak Creek, WI 53154-1407 2020-03-11
1780878454 Dr. Donald J. Schneekloth, D.p.m. Podiatrist 797 Winneconne Ave., Neenah, WI 54956 2007-09-05
1063614048 Jack W Hutter Sc Podiatrist 422 Summit Ave, Oconomowoc, WI 53066-3749 2007-06-02
1801006986 Rapids Foot Care Center Podiatrist 311 8th St S, Wisconsin Rapids, WI 54494-4622 2007-05-23
1316156318 Darcia Merritt Dillard Podiatrist 11030 W Villa Ave, Milwaukee, WI 53224-2586 2007-05-22
1790819886 Northwest Surgery Center Inc Podiatrist 1233 N Mayfair Rd Ste 304, Milwaukee, WI 53226-3255 2007-03-14
1396822730 Paul Matthew Zerovec Podiatrist 1442 N Farwell Ave Ste 605, Milwaukee, WI 53202-2913 2006-11-01
1194732669 Glenn A Hansen Podiatrist 2331 S Oneida St, Green Bay, WI 54304-5267 2006-08-01
1548294259 William W Weis Podiatrist 331 E Puetz Rd, #105, Oak Creek, WI 53154 2006-07-10
1104878750 Neal Jay Katz Podiatrist 664 W Washington Ave, Madison, WI 53703-2638 2006-05-16
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City APPLETON
Zip Code 54915

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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