Midwest Foot & Ankle Specialists

Primary specialty

PodiatristTaxonomy code 213E00000X

License

858-25 Issued in WI

Legal business name

MIDWEST FOOT & ANKLE SPECIALISTS

Practice address

3915 W Capitol Dr
Milwaukee, WI 53216-2528

Phone

(866) 335-1091

Fax

(866) 335-1091

NPI assigned

Nov 20, 2014

Last updated

Nov 20, 2014By 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. Jerome R Randall Jr., DPMNPI 1376689257

Title

Member

Phone

(866) 335-1091

Specialties & licenses 1

Addresses

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.

• Jerome R Randall, DPM

  • Podiatrist
  • Park Forest, IL
  • NPI 1376689257
  NPD (past) Authorized official

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1619374584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FARMHOUSE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236810",
            "telephone_number": "866-335-1091",
            "fax_number": "866-335-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162528",
            "telephone_number": "866-335-1091",
            "fax_number": "866-335-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "866-335-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "858-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Dialysis Center, Inc
• Midwest Dialysis Center, Inc (Midwest Dialysis Center-Lakeshore Branch)
• Midwest Dialysis Center, Inc
• Midwest Dialysis Center, Inc. (Midwest Dialysis Center-Appleton Ave Branch)
• Midwest Dialysis Center, Inc. (Midwest Dialysis Center - Capitol Branch)
• Midwest Foot & Ankle Surgical Center
• Midwest Heart Surgery Institute, LTD
• Midwest Infectious Disease
• Midwest Medical Supply Co. Inc.
• Midwest Medical Transport Company LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.