PODOMEDIK CLINICS LLC. (NPI# 1932454279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932454279 |
| Entity Type | Organization |
| Organization Name | PODOMEDIK CLINICS LLC. |
| Other Organization Name | GERARDO PEREZ SINGLE MEMBER |
| Practice Address |
2727 W Cleveland Ave Suite 100 Milwaukee WI 53215-2956 |
| Practice Telephone | 4147194799 |
| Practice Fax Number | 8475747477 |
| Mailing Telephone | 4147194799 |
| Mailing Fax Number | 8475747477 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | GERARDO PEREZ ESPINDOLA (OWNER/PROVIDER) |
| Authorized Official Telephone | 4147194799 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
91125 | WI | Ambulatory Health Care Facilities |
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
016005265 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA WI | FP2260204 | 01 |
| WI | MEDICARE PTAN | WI1874 | 01 |
| WI | GROUP NPI | 1932454279 | 01 |
| IL | MEDICARE PTAN | IL4062 | 01 |
| WI | 43241500 | 05 | |
| IL | DEA IL | BP8685034 | 01 |
| IL | 016005265 | 05 |
| Other Name | Type Code |
|---|---|
| Gerardo Perez Single Member | Doing Business As Name - Organization |
| Street Address |
2727 W CLEVELAND AVE SUITE 100 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799284 | Remedios Senora Alcera-poe | Pediatrics | 2727 W Cleveland Ave, Milwaukee, WI 53215-2908 | 2005-06-13 |
| 1811556640 | Quan Tran | Dentist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2019-06-05 |
| 1487102000 | Lisa Kelley | Physical Therapist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2016-09-12 |
| 1154786697 | Access Recovery Mental Health Services | Clinic/Center | 2727 W Cleveland Ave, Suite 204, Milwaukee, WI 53215-2956 | 2015-12-29 |
| 1255708798 | Physiotherapy Associates Inc | Clinic/Center | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2015-09-01 |
| 1245406982 | Medical Management Associates LLC | Family Medicine | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2008-05-02 |
| 1427222082 | Southside Pediatrics Assoc | Pediatrics | 2727 W Cleveland Ave, Milwaukee, WI 53215 | 2008-04-15 |
| 1457523649 | Advanced Dental Center LLC | Dentist | 2727 W Cleveland Ave, 2nd Fl, Milwaukee, WI 53215-2908 | 2008-03-27 |
| 1871644047 | Southside Primary Care | Clinic/Center | 2727 W Cleveland Ave, Milwaukee, WI 53215-2908 | 2007-01-15 |
| 1376615583 | Andrew Somthala Onela | Dentist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295837425 | Mark P Hastings, Dpm, Sc | Clinic/Center | 3431 N 51st Blvd, Milwaukee, WI 53216-3228 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679608392 | Advanced Foot & Ankle of Wisconsin LLC | Clinic/Center | 1050 S Milwaukee Avenue, Ste 102, Burlington, WI 53105-5310 | 2007-02-22 |
| 1033115456 | Sokaogon Chippewa Community | Clinic/Center | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2005-06-21 |
| 1114385960 | Mark A. Aldrich, D.p.m., Inc. | Clinic/Center | 737 Dorr St, Antigo, WI 54409-1472 | 2016-02-09 |
| 1679987788 | Elite Foot & Ankle Clinic Sc | Clinic/Center | 1779 Main St, Green Bay, WI 54302-3250 | 2014-06-17 |
| 1689976474 | Aspirus Clinics Inc | Clinic/Center | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2010-11-30 |
| 1295042711 | Yomex LLC | Clinic/Center | 2525 N Mayfair Rd, Suite #80, Wauwatosa, WI 53226-1403 | 2010-09-03 |
| 1316101595 | Great Lakes Foot & Ankle of Greater Milwaukee | Clinic/Center | 8153 S 27th St, 400, Franklin, WI 53132-9549 | 2008-07-16 |
| 1437327475 | Glenn A. Hansen, D.p.m. | Clinic/Center | 2331 S Oneida St, Green Bay, WI 54304-5267 | 2008-02-12 |
| 1710162003 | Renard Foot & Ankle Specialist LLC | Clinic/Center | 2005 S. Lake Park Rd, Appleton, WI 54915 | 2008-01-04 |
| 1659569705 | Alan L Balkansky Dpm Sc | Clinic/Center | 101 Falls Rd, Suite 600, Grafton, WI 53024-2612 | 2007-10-12 |
| 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.