Organization Active NPI

Dr. Donald J. Schneekloth, D.P.M.

  • Foot Surgery Podiatrist
  • Neenah, WI
National Provider Identifier
1780878454
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
551 Issued in WI
Legal business name
DR. DONALD J. SCHNEEKLOTH, D.P.M.
Doing business as
Dr. Donald J. Schneekloth, D.P.M.
Practice address
797 Winneconne Ave.
Neenah, WI 54956
Phone
(920) 722-0842
Fax
(920) 722-6174
NPI assigned
Sep 5, 2007
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. Donald J Schneekloth, D.P.MNPI 1487653937
Title
Owner
Phone
(920) 722-0842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 551 WI Primary

Addresses

Primary practice location

797 Winneconne Ave.
Neenah, WI 54956

Mailing address

797 Winneconne Ave.
Neenah, WI 54956
Phone (920) 722-0842

Other identifiers 1

IdentifierTypeStateIssuer
43211200MedicaidWI

Other names 1

  • Dr. Donald J. Schneekloth, D.P.M. Doing business as

National Provider Directory

National Provider Directory

Locations

797 W Winneconne Ave
Neenah, WI 54956
Phone (920) 722-0842

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1780878454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 WINNECONNE AVE.",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-722-0842",
            "fax_number": "920-722-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 WINNECONNE AVE.",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-722-0842",
            "fax_number": "920-722-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DONALD J. SCHNEEKLOTH, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "SCHNEEKLOTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-722-0842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43211200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Donald J. Schneekloth, D.P.M.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.