NORTH SHORE FOOT & ANKLE S.C. NPI 1780884726

NPI Information

  • NPI: 1780884726
  • Provider Name: NORTH SHORE FOOT & ANKLE, S.C.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Former Legal Business Name: BARRY E. ERDMAN, D.P.M. S.C.
  • Address: 2005 S LAKE PARK RD
    APPLETON, WI
    ZIP 54915
  • Phone: (920) 882-9990

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NPI Details

NORTH SHORE FOOT & ANKLE, S.C. is a podiatrist in Appleton, 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 FOOT & ANKLE, S.C. NPI is 1780884726. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Barry E. Erdman, D.p.m. S.c..

The provider's business location address is:

2005 S LAKE PARK RD
APPLETON, WI
ZIP 54915-155
Phone: (920) 882-9990
Fax: (920) 882-9544

The provider's authorized official is Barry E Erdman .
The authorized official title is President/ceo and has the following contact phone number (920) 882-9990.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 12/29/2011.

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
1213E00000XPodiatrist847-025WISCONSINNo
2213E00000XPodiatrist616-025WISCONSINYes

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
1=========-011OTHERWISCONSINANTHEM BLUE CROSS BLUE SH
24764700001MEDICARE NSCWISCONSIN
3WI2098MEDICARE PINWISCONSIN

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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