Family Foot & Ankle Clinics of Wisconsin LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

FAMILY FOOT & ANKLE CLINICS OF WISCONSIN LLC

Practice address

6123 Green Bay Rd Ste 100
Kenosha, WI 53142-2939

Phone

(262) 657-6104

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

William A Yoder, DPMNPI 1770819567

Title

Director

Phone

(262) 657-6104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Family Foot Ankle Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Foot & Ankle Clinics of Wisconsin,LLC

  • Foot & Ankle Surgery Podiatrist
  • Kenosha, WI
  • NPI 1518394550
  NPD tax ID

Locations

Practitioners 2

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

• William Allen Yoder, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kenosha, WI
  • NPI 1770819567
  Medicare reassignment NPD Authorized official
• John L Bostanche, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kenosha, WI
  • NPI 1821092420
  NPD (past)

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1235561473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD",
            "address_2": "SUITE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-657-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422939",
            "telephone_number": "262-657-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT & ANKLE CLINICS OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-657-6104",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis John Fahey, D.D.S.
• Emily Ann Fair, RBT
• Kathleen Kay Falk, COTA
• Familia Dental Kenosha LLC
• Family Care Chiropractic Center, Inc.
• Family Foot & Ankle Clinics of Wisconsin,LLC
• Family Foot Clinics of Wisconsin SC
• Family Pediatrics, Inc.
• Family Psychiatric Care, LLC
• Family to Family Home Care LLC

• Primary Podiatric Medicine Podiatrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Primary Podiatric Medicine Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.