PODOMEDIK CLINICS LLC. NPI 1932454279

NPI Information

NPI: 1932454279
Provider Name: PODOMEDIK CLINICS LLC.

Doing Business As: GERARDO PEREZ SINGLE MEMBER

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
2727 W CLEVELAND AVE
SUITE 100
MILWAUKEE, WI
ZIP 53215
Phone: (414) 719-4799
Get Directions

PODOMEDIK CLINICS LLC. is a podiatric clinic center in Milwaukee, WI. PODOMEDIK CLINICS LLC. NPI is 1932454279. The provider is registered as an organization entity type.
The provider Is Doing Business As Gerardo Perez Single Member.

The provider's business location address is:

2727 W CLEVELAND AVE
SUITE 100
MILWAUKEE, WI
ZIP 53215-956
Phone: (414) 719-4799
Fax: (847) 574-7477

The provider's authorized official is Gerardo Perez Espindola .
The authorized official title is Owner/provider and has the following contact phone number (414) 719-4799.

The enumeration date for this NPI number is 7/23/2012 and was last updated on 6/20/2018.

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
1	261QP1100X	Clinic/Center	Podiatric	91125	WISCONSIN	No
2	261QP1100X	Clinic/Center	Podiatric	016005265	ILLINOIS	Yes

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	=========	OTHER		EIN TAX ID
2	016005265	MEDICAID	ILLINOIS
3	BP8685034	OTHER	ILLINOIS	DEA IL
4	FP2260204	OTHER	WISCONSIN	DEA WI
5	=========	OTHER		EIN
6	1932454279	OTHER	WISCONSIN	GROUP NPI
7	IL4062	OTHER	ILLINOIS	MEDICARE PTAN
8	WI1874	OTHER	WISCONSIN	MEDICARE PTAN
9	43241500	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »