Provider Type Icon

WISCONSIN NEUROPATHY CENTER LLC NPI 1316014855


NPI Information

NPI: 1316014855
Provider Name: WISCONSIN NEUROPATHY CENTER LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
10105 74TH ST
SUITE 101
KENOSHA, WI
ZIP 53142
Phone: (262) 697-4301
Get Directions

WISCONSIN NEUROPATHY CENTER LLC is a podiatrist in Kenosha, 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. WISCONSIN NEUROPATHY CENTER LLC NPI is 1316014855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10105 74TH ST
SUITE 101
KENOSHA, WI
ZIP 53142-519
Phone: (262) 697-4301
Fax: (262) 925-8409

The provider's authorized official is Cynthia R Cernak .
The authorized official title is Owner and has the following contact phone number (262) 697-4301.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 3/31/2010.


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
1213E00000XPodiatrist416025WISCONSINYes

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
1E39494MEDICARE UPIN
2000132550MEDICARE PINWISCONSIN
3000032550MEDICARE PINWISCONSIN
4T37487MEDICARE UPIN
5T95283MEDICARE UPIN
6000280355MEDICARE PIN
75310490001MEDICARE NSCINDIANA
8000232550MEDICARE PIN
931693500MEDICAIDWISCONSIN
1043206800MEDICAIDWISCONSIN
1143240700MEDICAIDWISCONSIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.