MATTHEW D SORENSEN


Address: 10105 74th St Ste 101, Kenosha, WI 53142
Phone: 8473907666

MATTHEW D SORENSEN (NPI# 1477758035) 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) 1477758035
Entity Type Individual
Full Name MATTHEW D SORENSEN
Credential DPM
Practice Address 10105 74th St Ste 101
Kenosha
WI 53142
Mailing Address 1660 Feehanville Dr Ste 450
Mount Prospect
IL 60056-6023
Practice Telephone 8473907666
Practice Fax Number 8473909345
Mailing Telephone 8476274920
Mailing Fax Number 8472996041
Enumeration Date 2007-06-15
Last Update Date 2020-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
929 WI Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
016005622 IL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 016005622 05
WI 43242900 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1455 E Golf Rd Ste 110, Des Plaines, IL 600161253 8473907666 8473909345
1900 Hollister Dr Ste 160, Libertyville, IL 600485227 8473907666 8473909345

Other Providers MATTHEW SORENSEN

NPI Name Taxonomy Address Enumeration
1346878808 Matthew Doyle Sorensen Student in an Organized Health Care Education/Training Program 20900 Biscayne Blvd, Aventura, FL 33180-1407 2020-03-31
1609351667 Matthew Sorensen Physical Therapist 2100 Solar Dr Ste 204, Oxnard, CA 93036-2602 2018-09-26
1134646953 Matthew Sorensen Pharmacist 4053 Lankford Highway, Exmore, VA 23350 2017-08-23
1811378219 Matthew Sorensen Urology 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 2015-06-11
1417365479 Matthew Sorensen Physical Therapist 6401 University Ave Ne, Fridley, MN 55432-4341 2014-07-22
1730507997 Matthew Wayne Sorensen Pediatrics 2200 Childrens Way, Nashville, TN 37232-7701 2014-04-03
1639195704 Matthew D Sorensen Internal Medicine 2121 E Harmony Rd, Suite 170, Fort Collins, CO 80528-3400 2006-07-14

Office Location

Street Address 10105 74TH ST STE 101
City KENOSHA
State WI
Zip Code 53142

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124688114 Foot Factor Podiatry LLC Podiatrist 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 2019-06-20
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

Providers in the same taxonomy and state

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
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Competitor

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City KENOSHA
Zip Code 53142

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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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