Midwest Foot & Ankle Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIDWEST FOOT & ANKLE SURGICAL CENTER

Practice address

3915 W Capitol Dr
Milwaukee, WI 53216-2528

Phone

(866) 335-1091

Fax

(866) 335-1091

NPI assigned

Nov 21, 2014

Last updated

Nov 21, 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

Dr. Jerome R Randall Jr., DPMNPI 1376689257

Title

Member

Phone

(866) 335-1091

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerome R Randall, DPM

  • Podiatrist
  • Park Forest, IL
  • NPI 1376689257
  NPD (past) Authorized official

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1730586561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FARMHOUSE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236810",
            "telephone_number": "866-335-1091",
            "fax_number": "866-335-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162528",
            "telephone_number": "866-335-1091",
            "fax_number": "866-335-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT & ANKLE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "866-335-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Dialysis Center, Inc (Midwest Dialysis Center-Lakeshore Branch)
• Midwest Dialysis Center, Inc
• Midwest Dialysis Center, Inc. (Midwest Dialysis Center-Appleton Ave Branch)
• Midwest Dialysis Center, Inc. (Midwest Dialysis Center - Capitol Branch)
• Midwest Foot & Ankle Specialists
• Midwest Heart Surgery Institute, LTD
• Midwest Infectious Disease
• Midwest Medical Supply Co. Inc.
• Midwest Medical Transport Company LLC
• Midwest Nephrology Associates, S.C.

• Ambulatory Surgical Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.