Chippewa Valley Foot and Ankle Clinic SC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

848-025 Issued in WI

Legal business name

CHIPPEWA VALLEY FOOT AND ANKLE CLINIC SC

Practice address

4212 Southtown Dr
Eau Claire, WI 54701-2635

Phone

(715) 832-1400

Fax

(715) 832-4187

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Eric F Caporusso, DPMNPI 1366445587

Title

President

Phone

(715) 832-1400

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Francis Caporusso, DPM

  • Podiatrist
  • Altoona, WI
  • NPI 1366445587

  Foot & Ankle Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1689734873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 SOUTHTOWN DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012635",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 SOUTHTOWN DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012635",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA VALLEY FOOT AND ANKLE CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "CAPORUSSO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-832-1400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "848-025",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB9751",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43266700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chippewa Valley Eye Clinic LTD
• Chippewa Valley Home Care
• Chippewa Valley Medical Supply LLC
• Chippewa Valley Neuromonitoring, LLC
• Chippewa Valley Neurosciences LLC
• Chippewa Valley Optical LTD

• All providers in Eau Claire, WI
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.