Organization Active NPI

Foot Wellness Center

  • Foot Surgery Podiatrist
  • Milwaukee, WI
National Provider Identifier
1962677526
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
802025 Issued in WI
Legal business name
FOOT WELLNESS CENTER
Practice address
1442 N Farwell Ave
Suite 605
Milwaukee, WI 53202-2996
Phone
(414) 271-0670
Fax
(414) 271-2396
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Paul M. Zerovec, DPMNPI 1396822730
Title
Owner
Phone
(414) 271-0670

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 802025 WI Primary

Addresses

Primary practice location

1442 N Farwell Ave
Suite 605
Milwaukee, WI 53202-2996

Mailing address

1839A E Euclid Ave
Milwaukee, WI 53207-2943
Phone (414) 271-0670

Other identifiers 3

IdentifierTypeStateIssuer
43269300MedicaidWI
1396822730OtherWIINDIVIDUAL NPI
43227900MedicaidWI

National Provider Directory

National Provider Directory

Locations

1845 N Farwell Ave
Ste 108
Milwaukee, WI 53202
Phone (414) 276-9300

1442 N Farwell Ave
Ste 605
Milwaukee, WI 53202
Phone (414) 271-0670

Practitioners & affiliated clinicians

Practitioners 1

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1962677526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839A E EUCLID AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072943",
            "telephone_number": "414-271-0670",
            "fax_number": "414-271-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N FARWELL AVE",
            "address_2": "SUITE 605",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022996",
            "telephone_number": "414-271-0670",
            "fax_number": "414-271-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "ZEROVEC",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-271-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "802025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43269300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396822730",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43227900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.