Corey W Wesner, DPM, SC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

759025 Issued in WI

Legal business name

COREY W WESNER, DPM, SC

Practice address

1440 S Commercial St
Neenah, WI 54956-4638

Phone

(920) 725-4008

Fax

(920) 725-4218

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Lois J Wiesner

Title

A/R

Phone

(920) 725-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Corey W Wesner, DPM

  • Podiatrist
  • Neenah, WI
  • NPI 1861493967
  Medicare reassignment NPD
• Mark D Nelson, DPM

  • Podiatrist
  • Monticello, MN
  • NPI 1487656344
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1386801322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564638",
            "telephone_number": "920-725-4008",
            "fax_number": "920-725-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564638",
            "telephone_number": "920-725-4008",
            "fax_number": "920-725-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY W WESNER, DPM, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "WIESNER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "A/R",
        "authorized_official_telephone_number": "920-725-4008"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "759025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "759025",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikenzie Conrad
• Mark William Conradt, AU.D.
• Conscious Cultivation Therapies LLC
• Beth L Coopman, PHARMD
• Coraggio LLC
• Corr Opticians Inc
• Colleen M. Correa, D.O.
• Tiffany E Corrigan, MD
• Jadi Ann Cort
• Courageous Healing, LLC

• Foot & Ankle Surgery Podiatrist in Neenah, WI
• Providers in Neenah, 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 Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.