Organization Active NPI

Renard Foot & Ankle Specialist LLC

  • Podiatric Clinic/Center
  • Appleton, WI
National Provider Identifier
1710162003
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
847-025 Issued in WI
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

Updated by the provider on Mar 3, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.