Thomas W Perendy, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

740 Issued in WI

Practice address

143 S Gibson St
Medford, WI 54451-1622

Phone

(715) 748-2121

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1144272089
  NPD (past)
• Aspirus Wausau Hospital Inc

  • Clinic/Center
  • Wausau, WI
  • NPI 1588994933
  NPD (past)
• Bone & Joint Clinic S.C.

  • Multi-Specialty Clinic/Center
  • Wausau, WI
  • NPI 1902850696

  Foot & Ankle Surgery

  NPD (past)
• Darren R. Cowl DPM LLC

  • Podiatric Clinic/Center
  • Mankato, MN
  • NPI 1942484472

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871504035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR",
            "address_2": "SUITE 303",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511622",
            "telephone_number": "715-748-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERENDY",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43223900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Orysen, MS CCC- SLP
• Nicole Marie Paul, FNP
• Ryan Paul
• PDQ Medical Transit LLC
• Todd A Peissig, R.PH
• Jessica Pernsteiner
• Tracy Renee Pernsteiner
• Danielle E Peterson, CSAC, LPC
• Karen Pierce, CPM
• Sheala Rae Pinter, NP

• Foot & Ankle Surgery Podiatrist in Medford, WI
• Providers in Medford, 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 Jul 8, 2007; 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.