Podomedik Clinics

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

911-025 Issued in WI

Legal business name

PODOMEDIK CLINICS

Practice address

425 Shoreland Dr
Racine, WI 53402-3829

Phone

(847) 249-3888

NPI assigned

Jan 2, 2009

Last updated

Jan 2, 2009By 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

Gerardo Perez-Espindola, DPMNPI 1568456374

Title

Owner Physician

Phone

(856) 520-4513

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Gerardo Perez-Espindola2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gerardo Perez-Espindola

  dba Podomedik Clinics

  • Foot & Ankle Surgery Podiatrist
  • Racine, WI
  • NPI 1578700811
  NPD tax ID

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.

• Gerardo Perez- Espindola, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gurnee, IL
  • NPI 1568456374
  Authorized official Same address or phone

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1578709184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SHORELAND DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023829",
            "telephone_number": "847-249-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SHORELAND DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023829",
            "telephone_number": "847-249-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODOMEDIK CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "PEREZ-ESPINDOLA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "856-520-4513",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "911-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "215839",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000082037",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000082039",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Plagemann, R.N.
• Planned Parenthood of Wisconsin (Racine)
• Jack A Plate, LCSW,LMFT
• Platinum Communities - Racine LLC (The Pillars at Crystal Bay)
• Angel L Platzer
• Martin James Poe, PSY.D.
• Elizabeth Ann Polo, BS, CSAC, CSIT
• Nicholas Reinhart Pope, D.C.
• Porcaro Performance and Rehabilitation (Porcaro Physical Therapy)
• Ralph William Porcaro, DC

• Foot & Ankle Surgery Podiatrist in Racine, WI
• Providers in Racine, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.