NPIMap

Organization Active NPI

Neal Diabetic Foot and Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Appleton, WI
National Provider Identifier
1154438810
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
913-025 Issued in WI
Legal business name
NEAL DIABETIC FOOT AND ANKLE CENTER LLC
Practice address
W2654 County Road KK
Appleton, WI 54915
Phone
(920) 830-2221
Fax
(920) 257-2180
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Dr. Toni Jo Biese Neal, DPM, MHANPI 1427073659
Title
Podiatrist
Phone
(920) 830-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 913-025 WI Primary

Addresses

Primary practice location

W2654 County Road KK
Appleton, WI 54915

Mailing address

W2654 County Road KK
Appleton, WI 54915
Phone (920) 830-2221

Other identifiers 3

IdentifierTypeStateIssuer
5774600001OtherWIMEDICARE DMERC
43241700MedicaidWI
913-025OtherWIPODIATRIC MED & SURG LIC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080616000722 WI Part B Supplier - Clinic/Group Practice 1355412578 Receives reassigned benefits from 2 practitioners
Practice locations: Appleton, WI
O20100930030327 WI DME Supplier - Physician - Podiatry 1355412578 Practice locations: Appleton, WI

National Provider Directory

National Provider Directory

Locations

W2654 County Road KK
Appleton, WI 54915
Phone (920) 830-2221

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1154438810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2654 COUNTY ROAD KK",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-830-2221",
            "fax_number": "920-257-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2654 COUNTY ROAD KK",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-830-2221",
            "fax_number": "920-257-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL DIABETIC FOOT AND ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "TONI JO",
        "authorized_official_middle_name": "BIESE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "920-830-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MHA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "913-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "5774600001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43241700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC MED & SURG LIC.",
            "identifier": "913-025",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.