Northeast Wisconsin Foot and Ankle Assoc., S.C.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

604-025 Issued in WI

Legal business name

NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.

Practice address

1301 E Northland Ave
Ste B
Appleton, WI 54911-8426

Phone

(920) 731-1999

Fax

(920) 731-3729

NPI assigned

Aug 10, 2005

Last updated

Apr 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy K Tougas, DPMNPI 1093711491

Title

Physician/Owner

Phone

(920) 731-1999

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Timothy Kevin Tougas, DPM

  • Primary Podiatric Medicine Podiatrist
  • Appleton, WI
  • NPI 1093711491

  O20100930090274

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Northeast Wisconsin Foot and Ankle Assoc., S.C.

  • Podiatrist
  • Berlin, WI
  • NPI 1891291167
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd Alan Derksen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Appleton, WI
  • NPI 1053578682
  Medicare reassignment Care Compare group NPD
• Katie Jean Des Jardins

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1982075701
  Medicare reassignment Care Compare group NPD
• Theresa Lynn Schinke, DPM

  • Podiatrist
  • Appleton, WI
  • NPI 1043210594
  Medicare reassignment Care Compare group NPD
• Kara L Brochtrup, APNP

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1467702241
  Medicare reassignment Care Compare group
• Marissa McNelly Le, DPM

  • Podiatrist
  • Wheat Ridge, CO
  • NPI 1295149391

  WI

  Medicare reassignment NPD
• Timothy Kevin Tougas, DPM

  • Primary Podiatric Medicine Podiatrist
  • Appleton, WI
  • NPI 1093711491
  Authorized official Same address or phone

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1093716177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E. NORTHLAND AVE",
            "address_2": "SUITE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-731-1999",
            "fax_number": "920-731-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE",
            "address_2": "STE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118426",
            "telephone_number": "920-731-1999",
            "fax_number": "920-731-3729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "WI",
            "postal_code": "549231243",
            "country_code": "US",
            "telephone_number": "920-361-6385",
            "fax_number": "920-361-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "TOUGAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "920-731-1999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "902-025",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "604-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43222200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093716177",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brilane Norring, RN
• Mark Norris, MD
• North Appleton Dentistry, LLC
• North Shore Foot & Ankle Surgery Center, LLC
• North Shore Foot & Ankle, S.C.
• Northeast Wisconsin Retina Associates SC
• Northeast Wisconsin Surgical Assistants, LLC
• Northern Driver, LLC
• Northern Lights Behavioral Health, LLC
• Northland Hearing Centers, Inc. (Pickart Hearing Service)

• Primary Podiatric Medicine Podiatrist in Appleton, WI
• Providers in Appleton, WI by specialty
• Primary Podiatric Medicine Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.