NPIMap

Organization Active NPI

Family Foot Clinics of Wisconsin SC

  • Foot & Ankle Surgery Podiatrist
  • Racine, WI
National Provider Identifier
1568734044
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FAMILY FOOT CLINICS OF WISCONSIN SC
Practice address
5802 Washington Ave
Suite 103
Racine, WI 53406-4050
Phone
(262) 637-8806
Fax
(262) 637-2868
NPI assigned
Jan 31, 2012
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. Alyssa K Stephenson, DPMNPI 1871563601
Title
President
Phone
(262) 637-8806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

5802 Washington Ave
Suite 103
Racine, WI 53406-4050

Mailing address

3535 30TH Ave
Suite 203
Kenosha, WI 53144-1632
Phone (262) 657-6104

National Provider Directory

National Provider Directory

Locations

5802 Washington Ave
Ste 103
Mount Pleasant, WI 53406
Phone (262) 637-8806

Practitioners & affiliated clinicians

Practitioners 3

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": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1568734044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-657-6104",
            "fax_number": "262-657-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WASHINGTON AVE",
            "address_2": "SUITE 103",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064050",
            "telephone_number": "262-637-8806",
            "fax_number": "262-637-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINICS OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-637-8806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.