GREGORY J MACK


Address: 201 Cedar Falls Rd, Menomonie, WI 54751-1270
Phone: 7152354274

GREGORY J MACK (NPI# 1760577506) 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) 1760577506
Entity Type Individual
Full Name GREGORY J MACK
Credential DPM
Practice Address 201 Cedar Falls Rd
Menomonie
WI 54751-1270
Mailing Address Po Box 392
Menomonie
WI 54751-0392
Practice Telephone 7152354274
Practice Fax Number 7152359644
Mailing Telephone 7152354274
Mailing Fax Number 7152359644
Enumeration Date 2006-10-04
Last Update Date 2008-02-12
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
651025 WI Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 43214300 05

Other Providers GREGORY MACK

NPI Name Taxonomy Address Enumeration
1184109290 Gregory Thomas Mack Clinical Exercise Physiologist 2624 Billingsley Rd, Columbus, OH 43235-1924 2018-09-25
1902353188 Gregory Atticus Mack Chiropractor 636 Nw Richmond Beach Rd, Shoreline, WA 98177-3122 2016-09-06
1063790020 Gregory Scott Mack Pharmacist 101 Saint Andrews Ln, Pharmacy Dept Glen Cove Hospital, Glen Cove, NY 11542-2254 2011-07-25
1669523106 Gregory Irving Mack Psychologist 345 Kear St, Suite 202, Yorktown Heights, NY 10598-4425 2007-01-12
1528169513 Gregory R Mack Surgery 8008 Frost St, Suite 403, San Diego, CA 92123-4205 2006-09-25

Office Location

Street Address 201 CEDAR FALLS RD
City MENOMONIE
State WI
Zip Code 54751-1270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447645080 Morgan Mack Podiatrist 201 Cedar Falls Rd, Menomonie, WI 54751 2015-03-31
1144615907 Samuel Elsner Podiatrist 201 Cedar Falls Rd, Menomonie, WI 54751 2015-03-30
1669550919 Joel A Kowski Podiatrist 201 Cedar Falls Rd, Menomonie, WI 54751-1270 2006-11-02
1144308321 Foot and Ankle Clinic LLP Podiatrist 201 Cedar Falls Rd, Menomonie, WI 54751-1270 2006-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154840569 Ashley Friedenfels Physical Medicine & Rehabilitation E4486 290th Avenue, Menomonie, WI 54751 2017-09-18
1215307814 David Calvin Reimann Hearing Instrument Specialist E4584 483rd Avenue, Menomonie, WI 54751 2015-09-25
1790128627 County of Dunn Skilled Nursing Facility 651 Howison Circle, Menominie, WI 54751 2013-04-10
1043653983 County of Dunn Skilled Nursing Facility 658 Howison Circle, Menomonie, WI 54751 2013-04-10
1447519236 Gentle Dental Care LLC Dentist 1813 Wilson St., Menomonie, WI 54751 2012-05-14
1386960193 Kilimanjaro LLC Non-emergency Medical Transport (VAN) 1222 14th Ave E, Menomonie, WI 54751 2010-04-19
1275709180 Dianne Marie Bennett Counselor 1916 2nd St W, Menomonie, WI 54751 2008-05-01
1417136201 David Gary Hackbarth Chiropractor 3120 Schneider Ave E, Suite #5, Menomonie, WI 54751 2007-10-29
1306057336 Tonia D. Behling Dental Hygienist 3375 Kothlow Ave., Suite 40, Menomonie, WI 54751 2007-05-24
1295956282 Danny Roger Wood Dentist 1603 Stout Rd, Menomonie, WI 54751 2007-05-01
Find all providers in zip 54751

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
1669550919 Joel A Kowski Podiatrist 201 Cedar Falls Rd, Menomonie, WI 54751-1270 2006-11-02
1144308321 Foot and Ankle Clinic LLP Podiatrist 201 Cedar Falls Rd, Menomonie, WI 54751-1270 2006-11-02

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
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

Competitor

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City MENOMONIE
Zip Code 54751

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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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