Organization Active NPI

Madison Advanced Foot & Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Madison, WI
National Provider Identifier
1487216255
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MADISON ADVANCED FOOT & ANKLE, LLC
Practice address
664 W Washington Ave
Madison, WI 53703-2638
Phone
(608) 241-0848
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Colin T Graney, DPM
Title
Owner / Provider
Phone
(608) 241-0848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

664 W Washington Ave
Madison, WI 53703-2638

Mailing address

664 W Washington Ave
Madison, WI 53703-2638
Phone (608) 241-0848

National Provider Directory

National Provider Directory

Locations

664 W Washington Ave
Madison, WI 53703
Phone (608) 241-0848

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1487216255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 W WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032638",
            "telephone_number": "608-241-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 W WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032638",
            "telephone_number": "608-241-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON ADVANCED FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "GRANEY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "608-241-0848",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.