Organization Active NPI

Foot & Ankle Specialists SC

  • Podiatrist
  • West Allis, WI
National Provider Identifier
1558338137
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT & ANKLE SPECIALISTS SC
Practice address
7423 W Greenfield Ave
West Allis, WI 53214-4614
Phone
(414) 258-8945
Fax
(414) 258-7712
NPI assigned
Mar 2, 2006
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Randy S. Pauers, D.P.M.NPI 1295702421
Title
Owner
Phone
(414) 258-8945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

7423 W Greenfield Ave
West Allis, WI 53214-4614

Mailing address

7423 W Greenfield Ave
West Allis, WI 53214-4614
Phone (414) 258-8945

Other identifiers 1

IdentifierTypeStateIssuer
43266900MedicaidWI

National Provider Directory

National Provider Directory

Locations

7423 W Greenfield Ave
West Allis, WI 53214
Phone (414) 258-8945

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1558338137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144614",
            "telephone_number": "414-258-8945",
            "fax_number": "414-258-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144614",
            "telephone_number": "414-258-8945",
            "fax_number": "414-258-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "PAUERS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-258-8945",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43266900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.