Organization Active NPI

Foot First Podiatry Centers, V.P.C.

  • Foot & Ankle Surgery Podiatrist
  • Davenport, IA
National Provider Identifier
1205012564
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005148 Issued in IA
Legal business name
FOOT FIRST PODIATRY CENTERS, V.P.C.
Practice address
2303 E 53Rd St
Suite 3
Davenport, IA 52807-2701
Phone
(563) 441-0462
NPI assigned
Jan 17, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT FIRST PODIATRY CENTERS, V.P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Keith SklarNPI 1790734911
Title
Owner
Phone
(847) 352-9221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005148 IA Primary

Addresses

Primary practice location

2303 E 53Rd St
Suite 3
Davenport, IA 52807-2701

Mailing address

1601 W Wise Rd
Schaumburg, IL 60193-3554

National Provider Directory

National Provider Directory
Part of
Foot First Podiatry Cen

Locations

2303 E 53rd St
Ste 3
Davenport, IA 52807
Phone (563) 344-0707

30 S Michigan Ave
Ste 302
Chicago, IL 60603
Phone (312) 372-3117

1710 N Randall Rd
Ste 200
Elgin, IL 60123
Phone (847) 214-5738

1170 E Belvidere Rd
Ste 107
Grayslake, IL 60030
Phone (847) 223-8813

755 S Milwaukee Ave
#S261
Libertyville, IL 60048
Phone (847) 352-9221

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.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1205012564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 E 53RD ST",
            "address_2": "SUITE 3",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072701",
            "telephone_number": "563-441-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT FIRST PODIATRY CENTERS, V.P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT FIRST PODIATRY CENTERS, V.P.C.",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SKLAR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-352-9221"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "016005148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.