NPIMap

Organization Active NPI

Alan L Balkansky Dpmsc

Doing business as Healthy Foot & Ankle Grafton Podiatry Group

  • Podiatrist
  • Milwaukee, WI
National Provider Identifier
1326124694
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
429025 Issued in WI
Legal business name
ALAN L BALKANSKY DPMSC
Doing business as
Healthy Foot & Ankle Grafton Podiatry Group
Practice address
5404A N Lovers Lane Rd
Milwaukee, WI 53225-3006
Phone
(414) 442-3400
Fax
(414) 442-0344
NPI assigned
Oct 31, 2006
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Alan L Balkansky, DPMNPI 1871786590
Title
President Podiatrist
Phone
(414) 442-3400

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 429025 WI Primary

Addresses

Primary practice location

5404A N Lovers Lane Rd
Milwaukee, WI 53225-3006

Mailing address

5404A N Lovers Lane Rd
Milwaukee, WI 53225-3006
Phone (414) 442-3400

Other identifiers 2

IdentifierTypeStateIssuer
0864550001OtherMEDICARE NSC
43210400MedicaidWI

Other names 1

  • Healthy Foot & Ankle Grafton Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1326124694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404A N LOVERS LANE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253006",
            "telephone_number": "414-442-3400",
            "fax_number": "414-442-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404A N LOVERS LANE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253006",
            "telephone_number": "414-442-3400",
            "fax_number": "414-442-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L BALKANSKY DPMSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BALKANSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT PODIATRIST",
        "authorized_official_telephone_number": "414-442-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "429025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0864550001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43210400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Foot & Ankle Grafton Podiatry Group",
            "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 Nov 20, 2012; 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.