Comprehensive Foot & Ankle, SC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

COMPREHENSIVE FOOT & ANKLE, SC

Practice address

11128N State Highway 27/77
Northwoods Speciality Clinic
Hayward, WI 54843-5332

Phone

(715) 634-9023

Fax

(715) 634-9935

NPI assigned

Jun 30, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Grace Schmid

Title

Office Manager

Phone

(715) 634-9023

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346278959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11128N STATE HIGHWAY 27/77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435332",
            "telephone_number": "715-634-9023",
            "fax_number": "715-634-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11128N STATE HIGHWAY 27/77",
            "address_2": "NORTHWOODS SPECIALITY CLINIC",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435332",
            "telephone_number": "715-634-9023",
            "fax_number": "715-634-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FOOT & ANKLE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-634-9023",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG4176",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43269400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.