Port Washington Podiatry Inc in Grafton - Podiatrist
Port Washington Podiatry Inc - NPI 1013953926
Port Washington Podiatry Inc is a Podiatrist in Grafton, Wisconsin. Port Washington Podiatry Inc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Port Washington Podiatry Inc is 1013953926. The last update date is 2008-04-20.
Port Washington Podiatry Inc's current location address is 2132 Willow Pond Way, Grafton, Wisconsin. You can contact this provider via phone number 2622848800 and fax number 2622848861. The mailing address for Port Washington Podiatry Inc is 2132 Willow Pond Way, Grafton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port Washington Podiatry Inc |
|---|---|
| Address | 2132 Willow Pond Way, Grafton, Wisconsin |
| Phone Number | 2622848800 |
| Fax Number | 2622848861 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bongiorno Joseph Jeffrey |
| Credentials | DPM |
| Telephone Number | 2622848800 |
NPI Number Detail
| NPI Number | 1013953926 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 2132 Willow Pond Way |
|---|---|
| City | Grafton |
| State | Wisconsin (WI) |
| Post Code | 530249102 |
| Phone Number | 2622848800 |
| Fax Number | 2622848861 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 798025 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DB0746 | RR MCR | ||
| 43268200 | WI | -- |
Post Comment/ Review Below
What is the Port Washington Podiatry Inc's unique identification number?
The Port Washington Podiatry Inc has been assigned the NPI (National Provider Identifier) Number 1013953926 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Port Washington Podiatry Inc is physically located?
The Port Washington Podiatry Inc is situated at the following address: 2132 Willow Pond Way, Grafton, WI 530249102.
What is Port Washington Podiatry Inc's area of expertise and its corresponding taxonomy classification?
The Port Washington Podiatry Inc's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
When did Port Washington Podiatry Inc receive its 1013953926 assignment?
The Port Washington Podiatry Inc was assigned its 1013953926 on 2006-06-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Port Washington Podiatry Inc most recently updated or revised?
The information pertaining to Port Washington Podiatry Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.