JONATHAN A SNELLGROVE


Address: 1650 S 41st St, Manitowoc, WI 54220-7316
Phone: 9203205251

JONATHAN A SNELLGROVE (NPI# 1548260060) 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) 1548260060
Entity Type Individual
Full Name JONATHAN A SNELLGROVE
Credential DPM
Practice Address 1650 S 41st St
Manitowoc
WI 54220-7316
Mailing Address Po Box 2290
Manitowoc
WI 54221-2290
Practice Telephone 9203205251
Practice Fax Number 9206822006
Mailing Telephone 9203202591
Mailing Fax Number 9203205102
Enumeration Date 2005-07-27
Last Update Date 2014-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 1428 WI Podiatric Medicine & Surgery Service Providers
N 213E00000X Podiatrist PO 3012 FL Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 1650 S 41ST ST
City MANITOWOC
State WI
Zip Code 54220-7316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700484326 Kora Tesarik Physical Therapy Assistant 1650 S 41st St, Manitowoc, WI 54220-7316 2020-10-15
1699386367 Nicole Sixel Nurse Practitioner 1650 S 41st St, Manitowoc, WI 54220-7316 2020-08-14
1891320735 June C Magnussen Nurse Practitioner 1650 S 41st St, Manitowoc, WI 54220-7316 2020-03-11
1063062271 Kelly Marie Liebergen Speech-Language Pathologist 1650 S 41st St, Manitowoc, WI 54220-7316 2019-09-19
1235601709 Kara Danielle Mcclone Physician Assistant 1650 S 41st St, Manitowoc, WI 54220-7316 2018-12-21
1770074809 Andrea B Zahn Physical Therapist 1650 S 41st St, Manitowoc, WI 54220-7316 2018-05-24
1790274454 Maria E Lensmire Physical Therapy Assistant 1650 S 41st St, Manitowoc, WI 54220-7316 2018-05-08
1053835207 Nicole Drew Physical Therapist 1650 S 41st St, Manitowoc, WI 54220-7316 2017-07-31
1740729714 Margaret Huebbe Speech-Language Pathologist 1650 S 41st St, Manitowoc, WI 54220-7316 2017-02-23
1164976320 Jonathan Benzing Physical Therapist 1650 S 41st St, Manitowoc, WI 54220-7316 2016-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235614843 Katherine Borchardt Registered Nurse 3520 Foxfire Ct, Manitowoc, WI 54220 2018-09-28
1285128215 Aurora Pharmacy Inc Pharmacy 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 2018-06-22
1477937274 Baycare Clinic LLP Psychiatry & Neurology 4801 Expo Drive, Manitowoc, WI 54220 2015-07-13
1831593821 Brittany Camille Schultz Acupuncturist 2510 Washington Street, Manitowoc, WI 54220 2014-10-20
1710311261 Brian E Weitz Physical Therapy Assistant 960 S. Rapids Rd., Manitowoc, WI 54220 2013-09-01
1134499080 Total Renal Care Inc Clinic/Center 3303 Dewey St, Manitowoc, WI 54220 2012-01-10
1679858534 Lisa M Noworatzky Marriage & Family Therapist 926 S. 8th St., Manitowoc, WI 54220 2011-10-11
1306177225 Cynthia Fay Wenzel Licensed Practical Nurse 915 East Linden Avenue, Manitowoc, WI 54220 2010-01-15
1851550628 Roundys Supermarkets Inc Pharmacy 3300 Calumet Ave, Manitowoc, WI 54220 2008-06-05
1851566079 Jennifer C Mcwilliams Registered Nurse 1004 Nth 8th St., Manitowoc, WI 54220 2008-04-29
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710090345 Gary Joseph Francar Podiatrist 702 Hamilton St, Manitowoc, WI 54220 2006-08-17
1609028422 Jason G De Vries Podiatrist 501 N 10th St, Manitowoc, WI 54220-4039 2008-10-13
1568559490 Holy Family Memorial Inc Podiatrist 1650 S 41st St, Manitowoc, WI 54220-7316 2006-10-10

Providers in the same taxonomy and state

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
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Competitor

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City MANITOWOC
Zip Code 54220

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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