FOOT & ANKLE SPECIALISTS OF RACINE S.C. NPI 1457337024

NPI Information

  • NPI: 1457337024
  • Provider Name: FOOT & ANKLE SPECIALISTS OF RACINE, S.C.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 3500 MEACHEM RD
    RACINE, WI
    ZIP 53405
  • Phone: (262) 554-7004

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NPI Details

FOOT & ANKLE SPECIALISTS OF RACINE, S.C. is a podiatrist in Racine, 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. FOOT & ANKLE SPECIALISTS OF RACINE, S.C. NPI is 1457337024. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 MEACHEM RD
RACINE, WI
ZIP 53405-662
Phone: (262) 554-7004
Fax: (262) 554-7004

The provider's authorized official is Matthew T Larsen .
The authorized official title is Owner and has the following contact phone number (262) 554-7004.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 6/30/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist775WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
182015MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
2480032991OTHERWISCONSINRAILROAD MEDICARE
3438857OTHERWEST VIRGINIADMERC REGION B
44388570001MEDICARE NSCWISCONSIN

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: 3/30/2025

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