Active NPI
Donald J Schneekloth, D.P.M.
- Foot Surgery Podiatrist
- Neenah, WI
National Provider Identifier
1487653937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 551
- Practice address
- 797 Winneconne Ave
Neenah, WI 54956-3177 - Phone
- (920) 722-0842
- Fax
- (920) 722-6174
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 551 | WI | Primary |
Addresses
Primary practice location
797 Winneconne Ave
Neenah, WI 54956-3177
Mailing address
797 Winneconne Ave
Neenah, WI 54956-3177
Phone (920) 722-0842
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391556068 | Other | WI | TAX ID # |
| 43211200 | Medicaid | WI | |
| 391556068012 | Other | WI | BCBS BILLING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Past | Accepting new patients | |
| Valley Vna Health Systems Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Ascension Medical Group
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
dba Valley VNA Senior Services
- Voluntary or Charitable Agency
- Neenah, WI
- NPI 1992783856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1487653937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 WINNECONNE AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563177",
"telephone_number": "920-722-0842",
"fax_number": "920-722-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 WINNECONNE AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563177",
"telephone_number": "920-722-0842",
"fax_number": "920-722-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEEKLOTH",
"first_name": "DONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "WI",
"license": "551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "391556068",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43211200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BILLING NUMBER",
"identifier": "391556068012",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.