Active NPI
Mark P Hastings, DPM, SC
- Podiatric Clinic/Center
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- MARK P HASTINGS, DPM, SC
- Practice address
- 3431 N 51St Blvd
Milwaukee, WI 53216-3228 - Phone
- (262) 255-1040
- Fax
- (262) 255-4090
- NPI assigned
- Sep 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark P Hastings, DPM
- Title
- President
- Phone
- (414) 873-0772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Primary |
Addresses
Primary practice location
3431 N 51St Blvd
Milwaukee, WI 53216-3228
Mailing address
N86W16462 Jacobson Dr
Menomonee Falls, WI 53051-2833
Phone (262) 255-1040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43214100 | Medicaid | WI | |
| 41722300 | Medicaid | WI | |
| 4248430001 | Other | WI | MEDICARE DME |
National Provider Directory
National Provider DirectoryLocations
6275 S 106th St
Hales Corners, WI 53130
Phone (414) 427-4993
N60W15734 Hawthorne Dr
Menomonee Falls, WI 53051
225 E Brown Deer Rd
Milwaukee, WI 53217
Phone (414) 258-9955
5364 N Lovers Lane Rd
Milwaukee, WI 53225
Phone (414) 393-1296
7115 W Forest Home Ave
Milwaukee, WI 53220
Phone (414) 328-0455
336 W Walnut St
Milwaukee, WI 53212
Phone (414) 374-4000
7001 W National Ave
Milwaukee, WI 53214
Phone (414) 302-8700
5760 N 42nd St
Milwaukee, WI 53209
Phone (414) 465-0922
3161 S 112th St
West Allis, WI 53227
Phone (414) 321-5960
1467 S 75th St
West Allis, WI 53214
Phone (414) 476-2928
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Milwaukee, WI
- NPI 1346251303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247616000000",
"number": "1295837425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N86W16462 JACOBSON DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512833",
"telephone_number": "262-255-1040",
"fax_number": "262-255-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 N 51ST BLVD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532163228",
"telephone_number": "262-255-1040",
"fax_number": "262-255-4090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK P HASTINGS, DPM, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2009-07-15",
"status": "A",
"authorized_official_last_name": "HASTINGS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-873-0772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43214100",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41722300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "4248430001",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.