National Pedorthic Services, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NATIONAL PEDORTHIC SERVICES, INC.

Practice address

885 Western Ave
Suite 400
Fond Du Lac, WI 54935-3874

Phone

(920) 907-1060

Fax

(920) 907-1064

NPI assigned

Aug 19, 2006

Last updated

Dec 18, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIONAL PEDORTHIC SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Nicole S Janisse

Title

Operations Manager

Phone

(414) 438-1216

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

National Pedorthic Serv

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• National Pedorthic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Brookfield, WI
  • NPI 1205816857
  NPPES parent name

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1548374101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-438-1211",
            "fax_number": "414-438-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WESTERN AVE",
            "address_2": "SUITE 400",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353874",
            "telephone_number": "920-907-1060",
            "fax_number": "920-907-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PEDORTHIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL PEDORTHIC SERVICES, INC.",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "JANISSE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "414-438-1216"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41792700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maranda Murphy, M.S. CF-SLP
• Matthew Murphy, MD
• Jagadeeswara Rao Musunuru, M.D.
• Pallavi Nagpal, MD
• John J Nash, M.D.
• Amena Nazeer, MD
• Kristine Nehring, PSY.D.
• Michelle Neill
• Alicia Neitzel
• Elizabeth Nelson

• Prosthetic/Orthotic Supplier in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.