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DRS. FOOT SOURCE, INC.
NPI 1376624064
Durable Medical Equipment & Medical Supplies in Watertown, WI

Active since October 18, 2006
101 OAKRIDGE CT, SUITE B, WATERTOWN, WI 53094(920) 262-8822(920) 262-6337 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Drs. Foot Source, Inc. NPPES

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

DRS. FOOT SOURCE, INC. (NPI 1376624064) is a healthcare organization registered as a durable medical equipment & medical supplies in Watertown, Wisconsin and active in the NPI registry since October 2006. The organization lists Victor S. Soderstrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1376624064
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDRS. FOOT SOURCE, INC.
Location Address101 OAKRIDGE CT, SUITE BWatertown, WI 53094-4100
Mailing Address101 Oakridge Ct, Suite BWatertown, WI 53094-4100 · (920) 262-8822 · Fax (920) 262-6337
Phone(920) 262-8822
Fax(920) 262-6337
Organization SubpartNo
Authorized OfficialVictor S. SoderstromOwner · (920) 262-8822
Enumeration DateOctober 18, 2006
Last NPPES UpdateNovember 25, 2009
✔ NPI 1376624064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
101 OAKRIDGE CT, Watertown, WI 53094
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Other Identifiers 2

Medicare NSC4006320001WI
Medicaid41736500WI

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.

ROCK RIVER FOOT & ANKLE CLINIC, SC
Podiatrist
101 OAKRIDGE CT, STE A
WATERTOWN, WI 53094
Jefferson County (920) 261-9610
DR. NICOLE L HUGGETT D.D.S.
Dentist (General Practice)
101 OAKRIDGE CT, SUITE C
WATERTOWN, WI 53094
Jefferson County (920) 261-5400
DANIEL ELMES DPM
Podiatrist
101 OAKRIDGE CT
WATERTOWN, WI 53094
Jefferson County (920) 261-9610
DR. BRENT PAUL YAEGGI DPM
Podiatrist
101 OAKRIDGE CT, SUITE A
WATERTOWN, WI 53094
Jefferson County (920) 261-9610
DR. VICTOR STEPHEN SODERSTROM DPM
Podiatrist
101 OAKRIDGE CT, STE A
WATERTOWN, WI 53094
Jefferson County (920) 261-9610
DR. JAMES WILLIAM SCHAEFFER DDS
Dentist
101 OAKRIDGE CT
WATERTOWN, WI 53094
Jefferson County (920) 261-5400
DR. CARY J GILLINGHAM D.D.S.
Dentist (General Practice)
101 OAKRIDGE CT, SUITE C
WATERTOWN, WI 53094
Jefferson County (920) 261-5400
DR. GREG THOMAS GRAGLIA DPM
Podiatrist
101 OAKRIDGE CT, SUITE A
WATERTOWN, WI 53094
Jefferson County (920) 261-9610

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 Drs. Foot Source, Inc.'s NPI number?

The NPI number for Drs. Foot Source, Inc. is 1376624064. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Drs. Foot Source, Inc. located?

Drs. Foot Source, Inc. is located at 101 Oakridge Ct Suite B, Watertown, WI 53094. The listed phone number is (920) 262-8822.

What is Drs. Foot Source, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Drs. Foot Source, Inc. was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.