NPIMap

Organization Active NPI

Northeast Wisconsin Foot and Ankle Assoc., S.C.

  • Podiatrist
  • Berlin, WI
National Provider Identifier
1891291167
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.
Practice address
225 Memorial Dr
Berlin, WI 54923-1243
Phone
(920) 361-6285
Fax
(920) 361-5335
NPI assigned
Apr 4, 2018
Organization subpart
Yes
Parent organization
NORTHEAST WISCONSIN FOOT & ANKLE ASSOC., S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Marilou Schnaderbeck
Title
Business Manager
Phone
(920) 702-5484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

225 Memorial Dr
Berlin, WI 54923-1243

Mailing address

1301 E Northland Ave Ste B
Appleton, WI 54911-8582
Phone (920) 702-5484

National Provider Directory

National Provider Directory
Part of
Foot Ankle Assoc of NE

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1891291167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E NORTHLAND AVE STE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118582",
            "telephone_number": "920-702-5484",
            "fax_number": "920-224-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEMORIAL DR",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231243",
            "telephone_number": "920-361-6285",
            "fax_number": "920-361-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST WISCONSIN FOOT & ANKLE ASSOC., S.C.",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHNADERBECK",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-702-5484"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.