NPIMap

Organization Active NPI

Yomex LLC

  • Podiatric Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1295042711
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
949-25 Issued in WI
Legal business name
YOMEX LLC
Practice address
1626 W Fond Du Lac Ave
Milwaukee, WI 53205-1228
Phone
(414) 326-9034
Fax
(414) 763-2305
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Mexton M Deacon, DPMNPI 1811185283
Title
Owner
Phone
(414) 326-9034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 949-25 WI Primary
Durable Medical Equipment & Medical Supplies 332B00000X WI

Addresses

Primary practice location

1626 W Fond Du Lac Ave
Milwaukee, WI 53205-1228

Mailing address

1626 W Fond Du Lac Ave
Milwaukee, WI 53205-1228
Phone (414) 326-9034

Other names 1

  • Milwaukee Advanced Foot & Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101207000041 WI Part B Supplier - Clinic/Group Practice 5193910131 Receives reassigned benefits from 3 practitioners
Practice locations: Milwaukee, WI
O20110419000665 WI DME Supplier - Physician - Podiatry 5193910131 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory
Tax ID family
Yomex LLC2 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.

Locations

2525 N Mayfair Rd
Ste 80
Wauwatosa, WI 53226
Phone (414) 326-9034

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1295042711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051228",
            "telephone_number": "414-326-9034",
            "fax_number": "414-763-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051228",
            "telephone_number": "414-326-9034",
            "fax_number": "414-763-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOMEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "DEACON",
        "authorized_official_first_name": "MEXTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-326-9034",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WI",
            "license": "949-25",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milwaukee Advanced Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.