Winona Family Foot Care, LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

505 Issued in MN

Legal business name

WINONA FAMILY FOOT CARE, LTD

Doing business as

Coulee Region Foot Clinic

Practice address

3812 Creekside LN
Holmen, WI 54636-9466

Phone

(507) 452-0994

NPI assigned

Aug 10, 2007

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas R Nachtigal, DPMNPI 1962435172

Title

Owner/Doctor

Phone

(507) 452-0994

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COULEE REGION FOOT CLINIC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Robert Nachtigal, DPM

  • Podiatrist
  • Winona, MN
  • NPI 1962435172
  NPD (past) Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1548452873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "address_2": "SUITE 3C",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-452-0994",
            "fax_number": "507-452-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 CREEKSIDE LN",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369466",
            "telephone_number": "507-452-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA FAMILY FOOT CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "NACHTIGAL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "507-452-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81582200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COULEE REGION FOOT CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Wagnerowski, MSN, APNP, CNS-BC
• Danielle Justine Weber
• Joseph Allan Weber, DDS
• Ted M Wedul, DC
• Bennett A Wilsey
• Kyle Wright
• Reagan Xiong
• Ling Jin Yan, D.C
• Krystail Rose Young
• Sherrie L Zander, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.