Plaza Podiatry Associates LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PLAZA PODIATRY ASSOCIATES LLC

Practice address

1439 Churchill St
Suite 202
Waupaca, WI 54981-2089

Phone

(715) 258-5210

Fax

(715) 258-5249

NPI assigned

Mar 5, 2007

Last updated

Apr 20, 2008By 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

Dr. William Brian Quinn, DPM

Title

Owner

Phone

(715) 258-5210

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Christopher Thomas Deroche, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plover, WI
  • NPI 1790763779
  NPD (past)
• Andrew J Marso, DPM

  • Foot Surgery Podiatrist
  • Hales Corners, WI
  • NPI 1699753848
  NPD (past)
• Scott McClarren Benjamin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Franklin, IN
  • NPI 1124025564
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346379203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 CHURCHILL ST",
            "address_2": "SUITE 202",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812089",
            "telephone_number": "715-258-5210",
            "fax_number": "715-258-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 CHURCHILL ST",
            "address_2": "SUITE 202",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812089",
            "telephone_number": "715-258-5210",
            "fax_number": "715-258-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PODIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-258-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43239300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43204800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Catherine Phelan
• Amanda Cleary Pickart, DPT
• Bruce Allen Pierson, PT
• Aaron Wayne Plachetka, RPH, CI
• Morgan Platta, PHARMD
• E Res Pope, DDS
• Gary David Premo, ATC
• Robert Probasco, RPH
• Professional Pharmacy Associates
• Prostep Rehabilitation

• Foot & Ankle Surgery Podiatrist in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.