Foot & Ankle Specialists of Racine, S.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

775 Issued in WI

Legal business name

FOOT & ANKLE SPECIALISTS OF RACINE, S.C.

Practice address

3500 Meachem Rd
Racine, WI 53405-4662

Phone

(262) 554-7004

Fax

(262) 554-7004

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Matthew T Larsen, DPM

Title

Owner

Phone

(262) 554-7004

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1457337024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MEACHEM RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054662",
            "telephone_number": "262-554-7004",
            "fax_number": "262-554-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MEACHEM RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054662",
            "telephone_number": "262-554-7004",
            "fax_number": "262-554-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF RACINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-554-7004",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032991",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION B",
            "identifier": "438857",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy E Flores, LPC, SAC
• Stephen T. Flox, M.D.
• Patricia Marie Floyd, MS
• Thomas F. Foley, M.D.
• Christopher J Folk, PHARMD
• Forefront Dermatology, S.C.
• Sophia Fiorenza Formolo
• Dominic D Foster, LPC-IT, SACIT
• Foundations of Life, Inc
• Michelle Lee Fox, RDH

• Podiatrist in Racine, WI
• Providers in Racine, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.