NPIMap

Organization Active NPI

Czarnecki Podiatry, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Hartford, WI
National Provider Identifier
1801018569
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
025-519 Issued in WI
Legal business name
CZARNECKI PODIATRY, INC.
Practice address
940 Bell Ave
Suite a
Hartford, WI 53027-2913
Phone
(262) 673-7779
Fax
(262) 673-5484
NPI assigned
May 3, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Thomas Nicholas Czarnecki Jr., D.P.M.NPI 1881769776
Title
Podiatrist
Phone
(262) 673-7779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 025-519 WI Primary

Addresses

Primary practice location

940 Bell Ave
Suite a
Hartford, WI 53027-2913

Mailing address

940 Bell Ave
Suite a
Hartford, WI 53027-2913
Phone (262) 673-7779

Other identifiers 1

IdentifierTypeStateIssuer
43268400MedicaidWI

National Provider Directory

National Provider Directory

Locations

940 Bell Ave
Hartford, WI 53027
Phone (262) 673-7779

940 Bell Ave
Ste A
Hartford, WI 53027
Phone (262) 673-7779

11203 N Buntrock Ave
Mequon, WI 53092
Phone (262) 242-0095

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1801018569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 BELL AVE",
            "address_2": "SUITE A",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272913",
            "telephone_number": "262-673-7779",
            "fax_number": "262-673-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BELL AVE",
            "address_2": "SUITE A",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272913",
            "telephone_number": "262-673-7779",
            "fax_number": "262-673-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CZARNECKI PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CZARNECKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "262-673-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "025-519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43268400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.