Active NPI
Renard Foot & Ankle Specialist LLC
- Podiatric Clinic/Center
- Appleton, WI
National Provider Identifier
1710162003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 847-025
- Legal business name
- RENARD FOOT & ANKLE SPECIALIST LLC
- Practice address
- 2005 S. Lake Park Rd
Appleton, WI 54915 - Phone
- (920) 882-9990
- Fax
- (920) 882-9544
- NPI assigned
- Jan 4, 2008
- 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
- Mr. John J Renard, D.P.M.
- Title
- Owner
- Phone
- (920) 882-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 847-025 | WI | Primary |
Addresses
Primary practice location
2005 S. Lake Park Rd
Appleton, WI 54915
Mailing address
2005 S. Lake Park Rd
Appleton, WI 54915
Phone (920) 882-9990
National Provider Directory
National Provider DirectoryLocations
2005 S Lake Park Rd
Appleton, WI 54915
Phone (920) 882-9990
702 Eisenhower Dr
Ste C
Kimberly, WI 54136
Phone (920) 380-0785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1710162003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 S. LAKE PARK RD",
"city": "APPLETON",
"state": "WI",
"postal_code": "54915",
"telephone_number": "920-882-9990",
"fax_number": "920-882-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 S. LAKE PARK RD",
"city": "APPLETON",
"state": "WI",
"postal_code": "54915",
"telephone_number": "920-882-9990",
"fax_number": "920-882-9544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENARD FOOT & ANKLE SPECIALIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-04",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "RENARD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-882-9990",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "WI",
"license": "847-025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.