GLENN F. DEVRIES (NPI# 1487630026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487630026 |
| Entity Type | Individual |
| Full Name | GLENN F. DEVRIES |
| Credential | DPM |
| Practice Address |
680 E Fond Du Lac St Ripon WI 54971-9500 |
| Practice Telephone | 9207483009 |
| Practice Fax Number | 9207483109 |
| Mailing Telephone | 9207483009 |
| Mailing Fax Number | 9207483109 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2009-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
467 | WI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
680 E FOND DU LAC ST |
| City | RIPON |
| State | WI |
| Zip Code | 54971-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494321 | Ripon Medical Center | Prosthetic/Orthotic Supplier | 680 E Fond Du Lac St, Ripon, WI 54971-9500 | 2010-04-06 |
| 1265510564 | Glenn F Devries | Podiatrist | 680 E Fond Du Lac St, Ripon, WI 54971-9500 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850113 | Kaitlyn J Smith | Physical Therapist | 402 Eureka St, Ripon, WI 54971 | 2018-08-07 |
| 1336667526 | Cooperleaf Management Group | Assisted Living Facility | 1002 Eureka Street, Ripon, WI 54971 | 2017-09-07 |
| 1750618062 | Midel Incorporated | Assisted Living Facility | 530 North Union St., Ripon, WI 54971 | 2009-11-06 |
| 1073847471 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 790 Eastgate Dr, Ripon, WI 54971 | 2009-10-01 |
| 1598963415 | Joan Frances Nault I | Dentist | 702 E. Fond Du Lac St., Ripon, WI 54971 | 2007-07-03 |
| 1245366145 | Kathleen A Schumacher | Music Therapist | 1881 Rabbit Trail Road, Ripon, WI 54971 | 2007-02-26 |
| 1275680555 | Chris Schattschneider | Specialist/Technologist | 933 Newbury St., Ripon, WI 54971 | 2007-01-05 |
| 1225114010 | Kurt W Piernot | Dentist | 106 Watson St, Ripon, WI 54971 | 2006-10-27 |
| 1154427250 | Sarah Ann Heyn | Social Worker | 723 Chester Court, Ripon, WI 54971 | 2006-09-15 |
| 1023057320 | Joseph Longo | Family Medicine | 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 | 2006-06-05 |
| Find all providers in zip 54971 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265510564 | Glenn F Devries | Podiatrist | 680 E Fond Du Lac St, Ripon, WI 54971-9500 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
| 1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
| 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 |
| 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.