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LAKE COUNTRY FOOT & ANKLE SC
NPI 1245590017
Podiatrist - Foot & Ankle Surgery in Pewaukee, WI

Active since May 25, 2012
1177 QUAIL CT STE 103, PEWAUKEE, WI 53072(262) 695-6440(262) 695-2668 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lake Country Foot & Ankle Sc NPPES

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

LAKE COUNTRY FOOT & ANKLE SC (NPI 1245590017) is a healthcare organization registered as a foot & ankle surgery in Pewaukee, Wisconsin and active in the NPI registry since May 2012. The organization lists Ethan Daniel Meyer, President, as its authorized official.

NPPES Registry Identity

NPI1245590017
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLAKE COUNTRY FOOT & ANKLE SC
Location Address1177 QUAIL CT STE 103Pewaukee, WI 53072-3768
Mailing Address1177 Quail Ct Ste 103Pewaukee, WI 53072-3768 · (262) 695-6440 · Fax (262) 695-2668
Phone(262) 695-6440
Fax(262) 695-2668
Organization SubpartNo
Authorized OfficialEthan Daniel MeyerPresident · (262) 695-6440
Enumeration DateMay 25, 2012
✔ NPI 1245590017 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
License✔ Licensed in WI · 794-025
1177 QUAIL CT STE 103, Pewaukee, WI 53072
Open in Google Maps ↗

Other Identifiers 1

Other000082018WI · P10

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 3

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

DR. ANDREW VERNON LUDEMAN DC
Chiropractor
1177 QUAIL CT STE 103
PEWAUKEE, WI 53072
Waukesha County (414) 429-9707
DR. BENJAMIN AUSTIN RODRIGUES DC
Chiropractor
1177 QUAIL CT STE 103
PEWAUKEE, WI 53072
Waukesha County (414) 429-9707
LAKE COUNTRY FOOT & ANKLE, S.C.
Podiatrist (Foot & Ankle Surgery)
1177 QUAIL CT STE 103
PEWAUKEE, WI 53072
Waukesha County (262) 695-6440

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 Lake Country Foot & Ankle Sc's NPI number?

The NPI number for Lake Country Foot & Ankle Sc is 1245590017. It was assigned to this organization in the NPPES registry on May 25, 2012.

Where is Lake Country Foot & Ankle Sc located?

Lake Country Foot & Ankle Sc is located at 1177 Quail Ct Ste 103, Pewaukee, WI 53072. The listed phone number is (262) 695-6440.

What is Lake Country Foot & Ankle Sc'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 Lake Country Foot & Ankle Sc was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.