Sheboygan Foot Care, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

634-25 Issued in WI

Legal business name

SHEBOYGAN FOOT CARE, LLC

Practice address

630 Riverfront Dr Ste 202
Sheboygan, WI 53081-4616

Phone

(920) 457-6104

Fax

(920) 457-6105

NPI assigned

Dec 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheila Wolfington

Title

Business Manager

Phone

(920) 457-6104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Lee Wolfington, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sheboygan, WI
  • NPI 1013997220
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1063928752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 RIVERFRONT DR STE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814616",
            "telephone_number": "920-457-6104",
            "fax_number": "920-457-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 RIVERFRONT DR STE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814616",
            "telephone_number": "920-457-6104",
            "fax_number": "920-457-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBOYGAN FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "WOLFINGTON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-457-6104"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "634-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheboygan County Health & Human Services
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• Sheboygan Lung Specialists, SC
• Sheboygan Medical Center, LLC
• Sheboygan Medical Center, LLC

• Foot & Ankle Surgery Podiatrist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.