Organization Active NPI

Alan L Balkansky DPM SC

Doing business as Grafton Podiatry

  • Podiatric Clinic/Center
  • Grafton, WI
National Provider Identifier
1659569705
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
429025 Issued in WI
Legal business name
ALAN L BALKANSKY DPM SC
Doing business as
Grafton Podiatry
Practice address
101 Falls Rd
Suite 600
Grafton, WI 53024-2612
Phone
(262) 375-1940
Fax
(262) 375-0534
NPI assigned
Oct 12, 2007
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Alan L. Balkansky, DPM SC
Title
President
Phone
(262) 375-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 429025 WI Primary

Addresses

Primary practice location

101 Falls Rd
Suite 600
Grafton, WI 53024-2612

Mailing address

101 Falls Rd
Suite 600
Grafton, WI 53024-2612
Phone (262) 375-1940

Other names 1

  • Grafton Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

101 Falls Rd
Ste 600
Grafton, WI 53024
Phone (262) 375-1940

5404A N Lovers Lane Rd
Milwaukee, WI 53225
Phone (414) 442-3400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1659569705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FALLS RD",
            "address_2": "SUITE 600",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242612",
            "telephone_number": "262-375-1940",
            "fax_number": "262-375-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FALLS RD",
            "address_2": "SUITE 600",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242612",
            "telephone_number": "262-375-1940",
            "fax_number": "262-375-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L BALKANSKY DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BALKANSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-375-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM  SC"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WI",
            "license": "429025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grafton Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.