ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.
NPI 1104279561
Podiatrist in Kenosha, WI

NPI Status: Active since July 20, 2016

Contact Information

2901 35TH ST
LOWER LEVEL SOUTH
KENOSHA, WI
ZIP 53140
Phone: (262) 652-6555

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  • Organization
  • Podiatrist

About ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.

This page provides the complete NPI Profile along with additional information for Advanced Foot And Ankle Center Of Kenosha S.c., a provider established in Kenosha, Wisconsin operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1104279561 assigned on July 2016. The practitioner's primary taxonomy code is 213E00000X with license number 1029-25 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Dana Derouin Dpm (President)

NPI
1104279561
Provider Name
ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.
Entity Type
Organization
Location Address
2901 35TH ST LOWER LEVEL SOUTH KENOSHA, WI 53140
Location Phone
(262) 652-6555
Mailing Address
2901 35TH ST LOWER LEVEL SOUTH KENOSHA, WI 53140
Mailing Phone
(262) 652-6555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2016
Last Update Date
07-20-2016
Code Navigator

A podiatrist like Advanced Foot And Ankle Center Of Kenosha S.c. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
1029-25
License State
WI
Taxonomy Description
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DANA DEROUIN DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(262) 652-6555

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1598059354OTHER (01)ILNPI

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104279561, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 7 + 1 + 8 + 5 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104279561.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
2901 35TH ST
KENOSHA, WI 53140
Dentist (Periodontics)
2901 35TH ST
KENOSHA, WI 53140
Podiatrist
2901 35TH ST, LOWER LEVEL
KENOSHA, WI 53140
Chiropractor
2901 35TH ST
KENOSHA, WI 53140
Dentist (Pediatric Dentistry)
2901 35TH ST
KENOSHA, WI 53140
Counselor (Professional)
2901 35TH ST
KENOSHA, WI 53140
Social Worker (Clinical)
2901 35TH ST
KENOSHA, WI 53140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104279561, enumerated as an "organization" on July 20, 2016.

The provider is located at 2901 35TH ST LOWER LEVEL SOUTH KENOSHA, WI 53140 and the phone number is (262) 652-6555.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.