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

Active since July 20, 2016
2901 35TH ST, LOWER LEVEL SOUTH, KENOSHA, WI 53140(262) 652-6555 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Foot And Ankle Center Of Kenosha S.c. NPPES

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

ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C. (NPI 1104279561) is a healthcare organization registered as a podiatrist in Kenosha, Wisconsin and active in the NPI registry since July 2016. The organization lists Dana Derouin, President, as its authorized official.

NPPES Registry Identity

NPI1104279561
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.
Location Address2901 35TH ST, LOWER LEVEL SOUTHKenosha, WI 53140-5117
Mailing Address2901 35th St, Lower Level SouthKenosha, WI 53140-5117 · (262) 652-6555
Organization SubpartNo
Authorized OfficialDana DerouinPresident · (262) 652-6555
Enumeration DateJuly 20, 2016
NPI 1104279561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in WI · 1029-25
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2901 35TH ST, Kenosha, WI 53140

Other Identifiers 1

Other1598059354IL · Npi

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
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
Dentist (Periodontics)
2901 35TH ST
KENOSHA, WI 53140
Dentist (Pediatric Dentistry)
2901 35TH ST
KENOSHA, WI 53140
Nurse Practitioner (Psychiatric/Mental Health)
2901 35TH ST
KENOSHA, WI 53140
Counselor (Professional)
2901 35TH ST
KENOSHA, WI 53140

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 Advanced Foot And Ankle Center Of Kenosha S.C.'s NPI number?

The NPI number for Advanced Foot And Ankle Center Of Kenosha S.C. is 1104279561. It was assigned to this organization in the NPPES registry on July 20, 2016.

Where is Advanced Foot And Ankle Center Of Kenosha S.C. located?

Advanced Foot And Ankle Center Of Kenosha S.C. is located at 2901 35th St Lower Level South, Kenosha, WI 53140. The listed phone number is (262) 652-6555.

What is Advanced Foot And Ankle Center Of Kenosha S.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Advanced Foot And Ankle Center Of Kenosha S.C. was last updated on July 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.