FAMILY FOOT AND ANKLE CENTER, SC (NPI# 1811063274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811063274 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT AND ANKLE CENTER, SC |
| Practice Address |
436 E Longview Dr Suite A Appleton WI 54911-2166 |
| Practice Telephone | 9207335345 |
| Practice Fax Number | 9207331390 |
| Mailing Telephone | 9207335345 |
| Mailing Fax Number | 9207331390 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | DR. DIRK SAUL HALVERSON (PRESIDENT) |
| Authorized Official Telephone | 9207335345 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
877 | WI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
436 E LONGVIEW DR SUITE A |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518958925 | Dirk Saul Halverson | Podiatrist | 436 E Longview Dr, Suite A, Appleton, WI 54911 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378145 | John Julian Renard | Podiatrist | 2005 S. Lake Park Rd, Appleton, WI 54915 | 2006-06-27 |
| 1467854943 | Renard Foot Specialist At North Shore LLC | Podiatrist | 2005 S Lake Park Rd, Appleton, WI 54915-4155 | 2014-09-16 |
| 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 |
| 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.