Plaza Podiatry Associates LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

497025 Issued in WI

Legal business name

PLAZA PODIATRY ASSOCIATES LLC

Practice address

140 Wilshire Blvd N
Stevens Point, WI 54481-1360

Phone

(715) 341-1266

Fax

(715) 341-1268

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Brian Quinn, DPM

Title

Owner

Phone

(715) 341-1266

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1265574933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WILSHIRE BLVD N",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811360",
            "telephone_number": "715-341-1266",
            "fax_number": "715-341-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WILSHIRE BLVD N",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811360",
            "telephone_number": "715-341-1266",
            "fax_number": "715-341-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PODIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-341-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "497025",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "896025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43204800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43239300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin J Phelan, PAC
• Alexander Pieczynski, LAT, ATC
• Justin Michael Pilger
• Stephani Placek, FNP
• Plaza Dermatology, SC
• Heidi Pliwko, M.S.
• Plover River Counseling LLC
• Podiatry Associates of Wausau, S.C.
• Point Anesthesia Consultants, SC
• Point Counseling Center LLC

• Foot & Ankle Surgery Podiatrist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.