Individual provider Active NPI

Mark W Thomas, DPM

  • Podiatrist
  • Weston, WI
National Provider Identifier
1144450412
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1001-25 Issued in WI
Practice address
2405 Schofield Ave
Suite 110
Weston, WI 54476-2300
Phone
(715) 241-8100
Fax
(715) 241-8102
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1001-25 WI Primary

Addresses

Primary practice location

2405 Schofield Ave
Suite 110
Weston, WI 54476-2300

Mailing address

2405 Schofield Ave
Suite 110
Weston, WI 54476-2300
Phone (715) 241-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000851 WI Practitioner - Podiatry 4183778061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Ankle Clinic LLCGroup PAC ID 3072514876, 8 clinicians

Practice addresses (Care Compare)

100 S Court St
Merrill, WI 54452-2514
Phone (715) 241-8100

140 Wilshire Blvd N
Stevens Point, WI 54481-1360
Phone (715) 241-8100

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 241-8100

5403 Normandy St
Weston, WI 54476-2217
Phone (715) 241-8100

737 Dorr St
Antigo, WI 54409-1472
Phone (715) 241-8100

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue90
Removal of skin lesions1-10
Removal of nail tissue566
Removal or shaving of skin growth351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Ankle Clinic LLC Podiatrist CurrentSince Jun 4, 2012 Accepting new patients
Family Foot and Ankle Clinic LLC Podiatrist CurrentSince Jun 4, 2012 Accepting new patients
Family Foot and Ankle Center, SC Past Accepting new patients

Locations

737 Dorr St
Antigo, WI 54409
Phone (715) 623-4710

720 Ackley St
Antigo, WI 54409
Phone (715) 623-2292

100 S Court St
Merrill, WI 54452
Phone (715) 722-0999

140 Wilshire Blvd N
Stevens Point, WI 54481
Phone (715) 341-1266

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

5403 Normandy St
Weston, WI 54476
Phone (262) 210-7820

2405 Schofield Ave
Ste 110
Weston, WI 54476
Phone (715) 298-5991

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1144450412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SCHOFIELD AVE",
            "address_2": "SUITE 110",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762300",
            "telephone_number": "715-241-8100",
            "fax_number": "715-241-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 SCHOFIELD AVE",
            "address_2": "SUITE 110",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762300",
            "telephone_number": "715-241-8100",
            "fax_number": "715-241-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1001-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.