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NORTH SHORE PODIATRY INC. NPI 1295819118


NPI Information

NPI: 1295819118
Provider Name: NORTH SHORE PODIATRY, INC.

Other Name: OAK CREEK PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
8003 N PORT WASHINGTON RD
MILWAUKEE, WI
ZIP 53217
Phone: (414) 228-6444
Get Directions

NORTH SHORE PODIATRY, INC. is a podiatrist in Milwaukee, WI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NORTH SHORE PODIATRY, INC. NPI is 1295819118. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Oak Creek Podiatry.

The provider's business location address is:

8003 N PORT WASHINGTON RD
MILWAUKEE, WI
ZIP 53217-647
Phone: (414) 228-6444
Fax: (414) 228-7005

The provider's authorized official is Clifford D Greenbaum .
The authorized official title is President and has the following contact phone number (414) 228-6444.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist658025WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U19649MEDICARE UPINWISCONSIN
286380MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
343214600MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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