Glenn F Devries

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

467 Issued in WI

Legal business name

GLENN F DEVRIES

Practice address

1001 W Main St
Waupun, WI 53963-1601

Phone

(920) 324-9301

Fax

(920) 324-9473

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn F Devries, DPMNPI 1487630026

Title

Owner

Phone

(920) 324-9301

Specialties & licenses 1

Addresses

Other names 1

• DEVRIES FOOT CARE CLINIC Doing business as

Practitioners 1

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

• Glenn F. Devries, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ripon, WI
  • NPI 1487630026
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1861577876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631601",
            "telephone_number": "920-324-9301",
            "fax_number": "920-324-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631601",
            "telephone_number": "920-324-9301",
            "fax_number": "920-324-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN F DEVRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-324-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEVRIES FOOT CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi Fields, APNP-C
• Nancy Anne Garcia, APNP
• Morgan Gebhard, PHARMD
• Kalyn M Gebhardt Johnson, PHD
• William Gerrits
• Janelle Gobeli, DPT
• Mary Ann Gorske, NP
• Thomas W Grossman Jr., M.D.
• Alyssa A Hallgren, LPC
• Scott M Hansfield, MD

• Foot & Ankle Surgery Podiatrist in Waupun, WI
• Providers in Waupun, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.