Organization Active NPI

Rapids Foot Care Center LLC

  • Podiatrist
  • Wisconsin Rapids, WI
National Provider Identifier
1164682233
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
678-025 Issued in WI
Legal business name
RAPIDS FOOT CARE CENTER LLC
Practice address
311 8TH St So
Wisconsin Rapids, WI 54494-4622
Phone
(715) 423-8637
Fax
(715) 424-2724
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Patric J Hardiman, DPM
Title
Owner
Phone
(715) 423-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 678-025 WI Primary

Addresses

Primary practice location

311 8TH St So
Wisconsin Rapids, WI 54494-4622

Mailing address

311 8TH St So
Wisconsin Rapids, WI 54494-4622
Phone (715) 423-8637

Other identifiers 2

IdentifierTypeStateIssuer
41737500MedicaidWI
43268800MedicaidWI

National Provider Directory

National Provider Directory

Locations

311 8th St S
Wisconsin Rapids, WI 54494
Phone (715) 423-8637

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1164682233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 8TH ST SO",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944622",
            "telephone_number": "715-423-8637",
            "fax_number": "715-424-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 8TH ST SO",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944622",
            "telephone_number": "715-423-8637",
            "fax_number": "715-424-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPIDS FOOT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "HARDIMAN",
        "authorized_official_first_name": "PATRIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-423-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "678-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41737500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43268800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.