Wisconsin Foot Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

896-025 Issued in WI

Legal business name

WISCONSIN FOOT CENTER, LLC

Practice address

6130 S 108TH Street
Hales Corners, WI 53130-2525

Phone

(414) 425-8400

Fax

(414) 425-8425

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Marso, DPMNPI 1699753848

Title

Owner

Phone

(414) 425-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Andrew J Marso, DPM

  • Foot Surgery Podiatrist
  • Hales Corners, WI
  • NPI 1699753848
  Medicare reassignment Care Compare group NPD Authorized official
• David John Guhl, DPM

  • Podiatrist
  • Waukesha, WI
  • NPI 1689770877
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1326299553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 S 108TH STREET",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302525",
            "telephone_number": "414-425-8400",
            "fax_number": "414-425-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 S 108TH STREET",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302525",
            "telephone_number": "414-425-8400",
            "fax_number": "414-425-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN FOOT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "MARSO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-425-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "896-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GROUP PTAN #",
            "identifier": "DO9353",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Mark Weis, D.D.S.
• Mary T Wells, M.D.
• Amy Leigh Westland
• Donald Allen Whitlock, DDS
• Wisconsin Dental Group, S.C. (ForwardDental Hales Corners)
• Dennis Keith Wolf, LCSW
• Erin Chie Yoshida, DDS
• Your Favorite Couch Mental Health Therapy LLC
• Kimberly Lynn Zblewski, RN
• Sarah Elaine Ziemer, MA, CCC SLPL

• Podiatrist in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.