Michael Ehrhardt Jourdan, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

390 Issued in WI

Practice address

Podiatry Associates of Wausau, S.C.
1445 Merrill Ave
Wausau, WI 54401

Phone

(715) 675-2321

Fax

(715) 675-6530

NPI assigned

Sep 8, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Podiatry Associates of Wausau, S.C.

  • Podiatrist
  • Wausau, WI
  • NPI 1568456218
  NPD (past) Authorized official

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1942294699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PODIATRY ASSOCIATES OF WAUSAU, S.C.",
            "address_2": "1445 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-675-2321",
            "fax_number": "715-675-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PODIATRY ASSOCIATES OF WAUSAU, S.C.",
            "address_2": "1445 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-675-2321",
            "fax_number": "715-675-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOURDAN",
        "first_name": "MICHAEL",
        "middle_name": "EHRHARDT",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jones
• Kelsey Jones
• Kelsey Sue Joosten, AU.D.
• Thomas K. Joseph, M.D.
• Jennifer Josiger, R.N.
• Ryan Ron Juarez, DPT,PT., A.T.C.
• Jessica L Juntunen, MD
• Anders V Juvonen, DPM
• Lopa S Kabir Islam, MD
• Kathleen A. Kaczmarowski, NP

• Podiatrist in Wausau, WI
• Providers in Wausau, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.