NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC – NPI #1184837353
Clinic/Center

NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC is an AHC clinic located in APPLETON, WI. NPPES has assigned the NPI number 1184837353 to NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC on May 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 15 years ago on Sep 13, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC below.

NPI Profile for
NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC

NPI Number
1184837353
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC
Primary location
2005 S LAKE PARK RD
APPLETON, WI 54915-4155
Phone: (920) 882-9990 Fax: (920) 882-9544
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BARRY ERDMAN
OWNER (CEO)
Phone: (920) 882-9990
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 WI 616-025

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.