DR. CHARLES HARRY HADDOCK D.P.M.
NPI 1336168830
Podiatrist in Wisconsin Rapids, WI

Active since July 18, 2006
940 PEPPER AVE, WISCONSIN RAPIDS, WI 54494(715) 421-4344(715) 421-4341 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Charles Harry Haddock D.p.m. NPPES

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

DR. CHARLES HARRY HADDOCK D.P.M. (NPI 1336168830) is an individual podiatrist in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (414-025) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336168830
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. CHARLES HARRY HADDOCKCredential: D.P.M.
Location Address940 PEPPER AVEWisconsin Rapids, WI 54494-6307
Mailing Address940 Pepper AveWisconsin Rapids, WI 54494-6307 · (715) 421-4344 · Fax (715) 421-4341
Fax(715) 421-4341
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 8, 2008
NPI 1336168830 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 · 414-025
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.
940 PEPPER AVE, Wisconsin Rapids, WI 54494

Other Identifiers 7

Other39-1318842WI · Wea Trust
Medicaid43225600WI
Medicare NSC0750740001WI
Other391318842E00WI · Blue Cross Blue Shield
Medicare UPINT62091WI
Other137751120246WI · Humana
Medicare ID-Type Unspecified000084490WI

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 Charles Haddock's NPI number?

The NPI number for Charles Haddock is 1336168830. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Charles Haddock located?

Charles Haddock practices at 940 Pepper Ave, Wisconsin Rapids, WI 54494. The listed phone number is (715) 421-4344.

What is Charles Haddock'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 Charles Haddock was last updated on September 8, 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.