Active NPI
Foot and Ankle Clinic LLP
- Foot & Ankle Surgery Podiatrist
- Menomonie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FOOT AND ANKLE CLINIC LLP
- Practice address
- 201 Cedar Falls Rd
Menomonie, WI 54751-1270 - Phone
- (715) 235-4274
- Fax
- (715) 235-9644
- NPI assigned
- Nov 2, 2006
- Last updated
- Jan 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Mack
- Title
- Manager
- Phone
- (715) 235-4274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
201 Cedar Falls Rd
Menomonie, WI 54751-1270
Mailing address
PO Box 392
Menomonie, WI 54751-0392
Phone (715) 235-4274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43263800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
719 W Hamilton Ave
Ste A
Eau Claire, WI 54701
Phone (715) 235-4274
201 Cedar Falls Rd
Menomonie, WI 54751
Phone (715) 235-4274
1701 W Knapp St
Rice Lake, WI 54868
Phone (800) 359-4421
2021 Cenex Dr
Unit K
Rice Lake, WI 54868
Phone (715) 434-3124
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/gOP4994uTxKCP3l4vJ7Jqo6k1NZgHGsz/
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Menomonie, WI
- NPI 1144615907
Primary Podiatric Medicine
-
- Podiatrist
- Tomah, WI
- NPI 1831586239
-
- Podiatrist
- Eau Claire, WI
- NPI 1477532091
-
- Foot & Ankle Surgery Podiatrist
- Menomonie, WI
- NPI 1760577506
-
- Foot & Ankle Surgery Podiatrist
- Menomonie, WI
- NPI 1447645080
Primary Podiatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1144308321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547510392",
"telephone_number": "715-235-4274",
"fax_number": "715-235-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR FALLS RD",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547511270",
"telephone_number": "715-235-4274",
"fax_number": "715-235-9644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE CLINIC LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "MACK",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "715-235-4274"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43263800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.