North Shore Foot & Ankle Surgery Center, Llc in Appleton - Ambulatory Surgical
North Shore Foot & Ankle Surgery Center, Llc - NPI 1184837353
North Shore Foot & Ankle Surgery Center, Llc is a Ambulatory Surgical in Appleton, Wisconsin. North Shore Foot & Ankle Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for North Shore Foot & Ankle Surgery Center, Llc is 1184837353. The last update date is 2011-09-13.
North Shore Foot & Ankle Surgery Center, Llc's current location address is 2005 S Lake Park Rd, Appleton, Wisconsin. You can contact this provider via phone number 9208829990 and fax number 9208829544. The mailing address for North Shore Foot & Ankle Surgery Center, Llc is 2005 S Lake Park Rd, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | North Shore Foot & Ankle Surgery Center, Llc |
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Address | 2005 S Lake Park Rd, Appleton, Wisconsin |
Phone Number | 9208829990 |
Fax Number | 9208829544 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER (CEO |
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Authorized Official Name | Erdman E Barry |
Credentials | DPM |
Telephone Number | 9208829990 |
NPI Number Detail
NPI Number | 1184837353 |
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Provider Enumeration Date | 2007-05-07 |
Last Updated Date | 2011-09-13 |
Provider Mailing Address Detail
Address | 2005 S Lake Park Rd |
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City | Appleton |
State | Wisconsin (WI) |
Post Code | 549154155 |
Phone Number | 9208829990 |
Fax Number | 9208829544 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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Taxonomy | 261Qa1903X |
Licence No | 616-025 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
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What is the unique 10-digit identifier code issued to North Shore Foot & Ankle Surgery Center, Llc by the Centers for Medicare & Medicaid Services?
The North Shore Foot & Ankle Surgery Center, Llc has been assigned the NPI (National Provider Identifier) 1184837353 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where North Shore Foot & Ankle Surgery Center, Llc is located?
The North Shore Foot & Ankle Surgery Center, Llc is situated at the following address: 2005 S Lake Park Rd, Appleton, WI, 549154155.
What is the North Shore Foot & Ankle Surgery Center, Llc's specialty and taxonomy code?
The North Shore Foot & Ankle Surgery Center, Llc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did North Shore Foot & Ankle Surgery Center, Llc receive its 1184837353 assignment from the Centers for Medicare & Medicaid Services?
The North Shore Foot & Ankle Surgery Center, Llc was assigned its 1184837353 on 2007-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding North Shore Foot & Ankle Surgery Center, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to North Shore Foot & Ankle Surgery Center, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-13.
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