David K. Wysong DPM, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000579A Issued in IN

Legal business name

DAVID K. WYSONG DPM, PC

Practice address

3012 E State Blvd
Fort Wayne, IN 46805-4737

Phone

(260) 471-6830

Fax

(260) 471-6704

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David K Wysong, DPM

Title

President

Phone

(260) 471-6830

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Daniel S Allen, DPM

  • Podiatrist
  • Gillette, WY
  • NPI 1619068897
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1932360468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054737",
            "telephone_number": "260-471-6830",
            "fax_number": "260-471-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054737",
            "telephone_number": "260-471-6830",
            "fax_number": "260-471-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. WYSONG DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WYSONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-471-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000579A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033834",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081210",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Donald Dauscher, MD
• Yasmeen Davenport
• David B. Chalfant PC (Chalfant Chiropractic Center)
• David G. Slyby D.D.S. P.C.
• David K. Harrison DDS PC
• David Kiningham, LLC (David Kiningham)
• David M. Allen D.D.S. and Associates, P.C. (afdent)
• David N Lombard, PH.D, LLC
• David T Holmes MD PC
• Bethany Davidson, PTA

• Foot & Ankle Surgery Podiatrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.