NPIMap

Organization Active NPI

Advanced Foot & Ankle of Wisconsin LLC

  • Foot & Ankle Surgery Podiatrist
  • Brookfield, WI
National Provider Identifier
1962756270
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
924-25 Issued in WI
Legal business name
ADVANCED FOOT & ANKLE OF WISCONSIN LLC
Practice address
19035 W Capitol Dr
Suite 101
Brookfield, WI 53045-2755
Phone
(262) 763-9007
Fax
(262) 758-6134
NPI assigned
Nov 8, 2012
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Dr. Michael Kokat, DPMNPI 1780607200
Title
D.P.M.
Phone
(262) 763-9007

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WI
Foot & Ankle Surgery Podiatrist 213ES0103X 924-25 WI Primary

Addresses

Primary practice location

19035 W Capitol Dr
Suite 101
Brookfield, WI 53045-2755

Mailing address

19035 W Capitol Dr
Suite 101
Brookfield, WI 53045-2755
Phone (262) 763-9007

National Provider Directory

National Provider Directory
Tax ID family
Advanced Foot Ankle of Wi4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 N Executive Dr
Ste 105
Brookfield, WI 53005
Phone (262) 763-9007

9969 S 27th St
#320
Franklin, WI 53132
Phone (262) 763-9007

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1962756270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "SUITE 101",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-763-9007",
            "fax_number": "262-763-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "SUITE 101",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-763-9007",
            "fax_number": "262-758-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT & ANKLE OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "KOKAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "D.P.M.",
        "authorized_official_telephone_number": "262-763-9007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "924-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.