Nathan S Shane (NPI# 1043606247, PAC ID# 2264744200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1043606247 |
| PAC ID by PECOS | 2264744200 |
| Professional Enrollment ID | I20180717003484 |
| Full Name | Nathan S Shane |
| Organization Legal Name | WEIL FOOT AND ANKLE INSTITUTE LLC |
| Address |
10105 74th St Suite 101 Kenosha WI 53142-7530 |
| Phone Number | 84739076666205 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4587655105 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150146 | PARKVIEW NOBLE HOSPITAL |
| 150167 | ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC |
| Address | Phone | Organization |
|---|---|---|
| 1455 E Golf Rd, Suite 110, Des Plaines, IL 60016-1253 | 84739076666205 | WEIL FOOT AND ANKLE INSTITUTE LLC |
| 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2604848551 | ORTHOPAEDICS NORTHEAST PC |
| 401 N Sawyer Rd, Parkview Pulmonary and Critical Care, Kendallville, IN 46755-2568 | 2603553150 | PARKVIEW HEALTH SYSTEM INC |
| 10105 74th St, Suite 101, Kenosha, WI 53142-7530 | 84739076666205 | WEIL FOOT AND ANKLE INSTITUTE LLC |
| 1900 Hollister Dr, Suite 160, Libertyville, IL 60048-5227 | 84739076666205 | WEIL FOOT AND ANKLE INSTITUTE LLC |
| Organization Legal Name | WEIL FOOT AND ANKLE INSTITUTE LLC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jillian Cabai | Podiatry | Weil Foot and Ankle Institute LLC | 1565 N Lasalle, Chicago, IL 60610-1366 |
| Tyler J Raymaker | Physical Therapy | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Nicholas John Alianello | Podiatry | Weil Foot and Ankle Institute LLC | 1455 E Golf Rd, Suite 110, Des Plaines, IL 60016-1253 |
| George L Enriquez | Podiatry | Weil Foot and Ankle Institute LLC | 3385 N Arlington Heights Rd, Suite Gh, Arlington Hts, IL 60004-7702 |
| Donald D Brann | Podiatry | Weil Foot and Ankle Institute LLC | 16523 106th Ct, Orland Park, IL 60467-4545 |
| Jeffrey H Alexander | Podiatry | Weil Foot and Ankle Institute LLC | 1300 Waukegan Rd, Glenview, IL 60025-3022 |
| Natalie A Fox | Physical Therapy | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Anthony H Borrelli | Podiatry | Weil Foot and Ankle Institute LLC | 2101 Waukegan Rd, Suite 203, Bannockburn, IL 60015-1836 |
| Lauren Eisenberg | Physical Therapy | Weil Foot and Ankle Institute LLC | 2101 Waukegan Rd, Suite 203, Bannockburn, IL 60015-1836 |
| Jeffrey R Baker | Podiatry | Weil Foot and Ankle Institute LLC | 1455 E Golf Rd, Suite 110, Des Plaines, IL 60016-1253 |
| Street Address |
10105 74TH ST SUITE 101 |
| City | KENOSHA |
| State | WI |
| Zip | 53142-7530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler J Raymaker | Physical Therapy | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Natalie A Fox | Physical Therapy | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Christopher Collazo | Podiatry | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Cynthia R Cernak | Podiatry | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Matthew D Sorensen | Podiatry | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Rebecca A Lemke | Physical Therapy | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Mark Kenneth Magnus | Podiatry | Weil Foot and Ankle Institute LLC | 10105 74th St, Suite 101, Kenosha, WI 53142-7530 |
| Kyla Megan Bennett | Vascular Surgery | University of Wisconsin Medical Foundation Inc | 10105 74th St, Suite 101, Kenosha, WI 53142-7519 |
| Paul Abler | Physical Therapy | Dpt Holdings LLC | 10105 74th St, Suite 103, Kenosha, WI 53142-7530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall J Hammett | Chiropractic | 6500 67th St, Kenosha, WI 53142-1403 | |
| Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
| Rodrigo B Mata Iii | Internal Medicine | 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 | |
| Nancy Guadagno | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Shellie Kaye Babcock | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Chad E Sloden | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Nicholas Joseph Hollendonner | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Pushparanee Babusukumar | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Tom A Defrancesco | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Donna J Hayes | Podiatry | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 | |
| Find all physicians in zip 53142 | |||
| City | KENOSHA |
| Zip Code | 53142 |
| Specialty | PODIATRY |
| City + Specialty | KENOSHA + PODIATRY |
Please comment or provide details below to improve the information on Nathan S Shane.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.