Elite Foot & Ankle Clinic SC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

1036-25 Issued in WI

Legal business name

ELITE FOOT & ANKLE CLINIC SC

Practice address

1779 Main St
Green Bay, WI 54302-3250

Phone

(920) 465-0181

Fax

(920) 465-3916

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 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

Mrs. Debbie Mary Arbes, CMA

Title

Manager

Phone

(920) 465-0181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1679987788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023250",
            "telephone_number": "920-465-0181",
            "fax_number": "920-465-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023250",
            "telephone_number": "920-465-0181",
            "fax_number": "920-465-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FOOT & ANKLE CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "ARBES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-465-0181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WI",
            "license": "1036-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elbow Grease Massage Studio Inc (Elbow Grease Massage Studio)
• Heather Kristine Elertson, NP
• Muhaned Elhindi, DMD
• Christina Eliason
• Roxanne Eliason, PTA
• Josiah Elkins
• Briana Ellis, DPT
• Charles Lee Ellis, DDS, MD
• Stephanie Marie Ellman, ARNP
• James Leigh Elm, O.D.

• Podiatric Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Podiatric Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.