Family Foot and Ankle Center, SC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

877 Issued in WI

Legal business name

FAMILY FOOT AND ANKLE CENTER, SC

Practice address

436 E Longview Dr
Suite a
Appleton, WI 54911-2166

Phone

(920) 733-5345

Fax

(920) 733-1390

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dirk Saul Halverson, DPMNPI 1518958925

Title

President

Phone

(920) 733-5345

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Dirk Saul Halverson, D.P.M.

  • Podiatrist
  • Minneapolis, MN
  • NPI 1518958925

  Foot Surgery

  NPD (past) Authorized official
• Lee Arthur Klauk, D.P.M.

  • Podiatrist
  • Appleton, WI
  • NPI 1841282068
  NPD (past)
• Mark W Thomas, DPM

  • Podiatrist
  • Weston, WI
  • NPI 1144450412
  NPD (past)
• Joel J Tikalsky, DPM

  • Podiatrist
  • Weston, WI
  • NPI 1073500526
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1811063274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E LONGVIEW DR",
            "address_2": "SUITE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112166",
            "telephone_number": "920-733-5345",
            "fax_number": "920-733-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E LONGVIEW DR",
            "address_2": "SUITE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112166",
            "telephone_number": "920-733-5345",
            "fax_number": "920-733-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-733-5345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Fakler, D.D.S.
• Taylor Christine Falck, OTR
• Brianna Falk
• Julianne Falleroni, D.O.
• Family Care of the Fox Cities SC
• Family Services of Northeast Wisconsin, Inc.
• Chenhao Fan, M.D.
• Alice A Fara, RN
• Anne Farley, PT
• Katherine M Farley, APNP

• Foot Surgery Podiatrist in Appleton, WI
• Providers in Appleton, WI by specialty
• Foot Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.