NPIMap

Individual provider Active NPI

William Allen Yoder, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kenosha, WI
National Provider Identifier
1770819567
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
988-025 Issued in WI
Practice address
3535 30TH Ave
Suite 203
Kenosha, WI 53144-1632
Phone
(262) 657-6104
Fax
(262) 657-6194
NPI assigned
Oct 28, 2009
Last updated
Jul 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003528 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 988-025 WI Primary

Addresses

Primary practice location

3535 30TH Ave
Suite 203
Kenosha, WI 53144-1632

Mailing address

3535 30TH Ave
Suite 203
Kenosha, WI 53144-1632
Phone (262) 657-6104

Other identifiers 1

IdentifierTypeStateIssuer
1417141227OtherWINPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110708000505 WI Practitioner - Podiatry 6901084235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6123 Green Bay Rd
Suite 100
Kenosha, WI 53142-2939
Phone (262) 657-6104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
46.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of nail tissue287
Removal or shaving of skin growth122
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003528OHMDFoot & Ankle Surgery Podiatrist
988-025WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot & Ankle Clinics of Wisconsin LLC Foot & Ankle Surgery CurrentSince Oct 3, 2016 Accepting new patients
Family Foot & Ankle Clinics of Wisconsin,LLC Foot & Ankle Surgery Current Accepting new patients
Family Foot Clinics of Wisconsin SC Foot & Ankle Surgery Past Accepting new patients
Family Foot Clinics of Wisconsin SC Foot & Ankle Surgery Past Accepting new patients

Locations

3535 30th Ave
Ste 203
Kenosha, WI 53144
Phone (262) 652-6555

6123 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 652-3668

5802 Washington Ave
Ste 202
Mount Pleasant, WI 53406
Phone (262) 886-1957

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1770819567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-657-6104",
            "fax_number": "262-657-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-657-6104",
            "fax_number": "262-657-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003528",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "988-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1417141227",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.