Active NPI
Alan L Balkansky DPM SC
Doing business as Grafton Podiatry
- Podiatric Clinic/Center
- Grafton, WI
National Provider Identifier
1659569705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 429025
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Greenfield, WI
- NPI 1831284470
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.