Organization Active NPI

Hesse Foot & Ankle Clinic, S.C.

  • Foot & Ankle Surgery Podiatrist
  • Eau Claire, WI
National Provider Identifier
1841324795
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
725-025 Issued in WI
Legal business name
HESSE FOOT & ANKLE CLINIC, S.C.
Practice address
719 W Hamilton Ave Ste a
Eau Claire, WI 54701-6970
Phone
(715) 514-4706
Fax
(715) 514-4708
NPI assigned
Mar 15, 2007
Last updated
Oct 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Dr. David Frederick Hesse, DPMNPI 1477532091
Title
Director
Phone
(715) 514-4706

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 Podiatrist 213ES0103X 725-025 WI Primary

Addresses

Primary practice location

719 W Hamilton Ave Ste a
Eau Claire, WI 54701-6970

Mailing address

719 W Hamilton Ave Ste a
Eau Claire, WI 54701-6970
Phone (715) 514-4706

Other identifiers 1

IdentifierTypeStateIssuer
43221500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070614000572 WI Part B Supplier - Clinic/Group Practice 6103924170 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI
O20100930018710 WI DME Supplier - Physician - Podiatry 6103924170 Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

3902 Oakwood Hills Pkwy
Ste 3
Eau Claire, WI 54701
Phone (715) 514-4706

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1841324795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016970",
            "telephone_number": "715-514-4706",
            "fax_number": "715-514-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016970",
            "telephone_number": "715-514-4706",
            "fax_number": "715-514-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESSE FOOT & ANKLE CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "HESSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-514-4706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "725-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43221500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.