Associated Foot & Ankle Clinic LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ASSOCIATED FOOT & ANKLE CLINIC LLC

Practice address

2950 Prairie Avenue
3
Beloit, WI 53511-1899

Phone

(608) 362-0758

Fax

(608) 362-7310

NPI assigned

Jul 1, 2006

Last updated

Aug 22, 2020By 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. Robert M Sage, DPM

Title

Co Owner Podiatrist

Phone

(608) 362-0758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679502843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 PRAIRIE AVENUE",
            "address_2": "3",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111899",
            "telephone_number": "608-362-0758",
            "fax_number": "608-362-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 PRAIRIE AVENUE",
            "address_2": "3",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111899",
            "telephone_number": "608-362-0758",
            "fax_number": "608-362-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FOOT & ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO OWNER PODIATRIST",
        "authorized_official_telephone_number": "608-362-0758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.