Organization Active NPI

Northland Podicare LTD.

  • Primary Podiatric Medicine Podiatrist
  • Minocqua, WI
National Provider Identifier
1588706626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
591-025 Issued in WI
Legal business name
NORTHLAND PODICARE LTD.
Practice address
9251 County Rd J
Minocqua, WI 54548-9251
Phone
(715) 356-4255
Fax
(715) 358-6475
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Catherine Marie Kurtyka
Title
Administrator
Phone
(715) 356-4255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 591-025 WI Primary

Addresses

Primary practice location

9251 County Rd J
Minocqua, WI 54548-9251

Mailing address

PO Box 1577
Woodruff, WI 54568-1577
Phone (715) 356-4255

Other identifiers 1

IdentifierTypeStateIssuer
43267500MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588706626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1577",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545681577",
            "telephone_number": "715-356-4255",
            "fax_number": "715-358-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 COUNTY RD J",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489251",
            "telephone_number": "715-356-4255",
            "fax_number": "715-358-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND PODICARE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURTYKA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-356-4255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "591-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43267500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.