Organization Active NPI

Foot Doctor PC

  • Foot Surgery Podiatrist
  • Casper, WY
National Provider Identifier
1861631871
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
W106 Issued in WY
Legal business name
FOOT DOCTOR PC
Practice address
2233 E 2ND St
Casper, WY 82609-2050
Phone
(307) 237-3668
NPI assigned
Feb 13, 2009
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Dr. Michael P Wilkinson, DPMNPI 1093850117
Title
President
Phone
(307) 237-3668

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 Surgery Podiatrist 213ES0131X W106 WY Primary

Addresses

Primary practice location

2233 E 2ND St
Casper, WY 82609-2050

Mailing address

2233 E 2ND St
Casper, WY 82609-2050
Phone (307) 237-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090305000143 WY Part B Supplier - Clinic/Group Practice 3476619115 Receives reassigned benefits from 2 practitioners
Practice locations: Casper, WY
O20100930003127 WY DME Supplier - Physician - Podiatry 3476619115 Practice locations: Casper, WY

National Provider Directory

National Provider Directory
Tax ID family
The Foot Doctor PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2233 E 2nd St
Casper, WY 82609
Phone (307) 237-3668

Practitioners & affiliated clinicians

Practitioners 2

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": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1861631871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092050",
            "telephone_number": "307-237-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092050",
            "telephone_number": "307-237-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT DOCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-237-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WY",
            "license": "W106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.