Organization Active NPI

Rapids Foot Care Center

  • Foot Surgery Podiatrist
  • Wisconsin Rapids, WI
National Provider Identifier
1801006986
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
678-025 Issued in WI
Legal business name
RAPIDS FOOT CARE CENTER
Practice address
311 8TH St S
Wisconsin Rapids, WI 54494-4622
Phone
(715) 423-8637
Fax
(715) 424-2724
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Patric J. Hardiman
Title
Physician/Owner
Phone
(715) 423-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 678-025 WI Primary

Addresses

Primary practice location

311 8TH St S
Wisconsin Rapids, WI 54494-4622

Mailing address

311 8TH St S
Wisconsin Rapids, WI 54494-4622
Phone (715) 423-8637

Other identifiers 1

IdentifierTypeStateIssuer
43218500MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1801006986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944622",
            "telephone_number": "715-423-8637",
            "fax_number": "715-424-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944622",
            "telephone_number": "715-423-8637",
            "fax_number": "715-424-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPIDS FOOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "HARDIMAN",
        "authorized_official_first_name": "PATRIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "715-423-8637",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "678-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43218500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.