WHITEFISH BAY FOOT & ANKLE CLINC, LLC
NPI 1003909847
Podiatrist - Foot & Ankle Surgery in Whitefish Bay, WI

Q: What is Whitefish Bay Foot & Ankle Clinc, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since October 02, 2006

155 E SILVER SPRING DR STE 205, WHITEFISH BAY, WI 53217(414) 967-1900(414) 967-1926 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Whitefish Bay Foot & Ankle Clinc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITEFISH BAY FOOT & ANKLE CLINC, LLC (NPI 1003909847) is a healthcare organization registered as a foot & ankle surgery in Whitefish Bay, Wisconsin and active in the NPI registry since October 2006. The organization lists Jason Boudreau, Podiatrist / Owner, as its authorized official.

NPPES Registry Identity

NPI1003909847

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameWHITEFISH BAY FOOT & ANKLE CLINC, LLC

Location Address155 E SILVER SPRING DR STE 205Whitefish Bay, WI 53217-4704

Mailing AddressPo Box 11430Milwaukee, WI 53211-0430 · (414) 962-9070 · Fax (414) 962-9050

Phone(414) 967-1900

Fax(414) 967-1926

Organization SubpartNo

Authorized OfficialJason BoudreauPodiatrist / Owner · (414) 967-1900

Enumeration DateOctober 2, 2006

Last NPPES UpdateMarch 10, 2008

✔ NPI 1003909847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

155 E SILVER SPRING DR STE 205, Whitefish Bay, WI 53217

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Other Identifiers 3

Medicare NSC5354600001WI

Medicare UPINU80480WI

Medicaid43266800WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitefish Bay Foot & Ankle Clinc, LLC's NPI number?

The NPI number for Whitefish Bay Foot & Ankle Clinc, LLC is 1003909847. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Whitefish Bay Foot & Ankle Clinc, LLC located?

Whitefish Bay Foot & Ankle Clinc, LLC is located at 155 E Silver Spring Dr Ste 205, Whitefish Bay, WI 53217. The listed phone number is (414) 967-1900.

What is Whitefish Bay Foot & Ankle Clinc, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Whitefish Bay Foot & Ankle Clinc, LLC was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.