Organization Active NPI

Mark P Hastings, DPM, SC

  • Podiatric Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1295837425
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
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

Updated by the provider on Jul 15, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43214100MedicaidWI
41722300MedicaidWI
4248430001OtherWIMEDICARE DME

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.