Jill C Wisdom, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1283 Issued in TX

Practice address

6309 Preston Rd
Ste 1200
Plano, TX 75024-2606

Phone

(972) 769-7280

Fax

(972) 769-7287

NPI assigned

Jul 29, 2005

Reactivated

Mar 28, 2006

Last updated

Aug 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill C Kranzow Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Jill Carole Kranzow DPM PA

  • Podiatrist
  • Plano, TX
  • NPI 1740463710
  Medicare reassignment NPD
• Jill Carole Kranzow DPM PA

  • Podiatrist
  • McKinney, TX
  • NPI 1922482736
  NPD Authorized official

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

• Metdalspi, LLC

  dba Methodist Hospital for Surgery

  • General Acute Care Hospital
  • Addison, TX
  • NPI 1023338142
  Care Compare affiliation

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1255331310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 PRESTON RD",
            "address_2": "SUITE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242606",
            "telephone_number": "972-769-7280",
            "fax_number": "972-769-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 PRESTON RD",
            "address_2": "STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242606",
            "telephone_number": "972-769-7280",
            "fax_number": "972-769-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-08-29",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "KRANZOW",
            "middle_name": "C",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• McKenzie Winn, MS, CCC-SLP
• Cammie Winover, LCSW
• Violette Winslow
• Matthew Charles Winters, PA-C
• Dean Edward Wisdom, LPC, RPT
• Hayli Wise, NNP
• Jaeden Wiseman
• Wiser Senior Counseling and Consulting, LLC
• Withee Acupuncture of Texas, PLLC (Withee Acupuncture of Texas)
• David E Witherspoon, DDS

• Podiatrist in Plano, TX
• Providers in Plano, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.