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FITCHBURG PODIATRY LLC
NPI 1629892674
Podiatrist - Foot & Ankle Surgery in Fitchburg, WI

Active since November 14, 2024
2960 TRIVERTON PIKE DR STE 107, FITCHBURG, WI 53711(307) 714-2316 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2024, Nov 14, 2024 (2 updates tracked since 2024).

About Fitchburg Podiatry Llc NPPES

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

FITCHBURG PODIATRY LLC (NPI 1629892674) is a healthcare organization registered as a foot & ankle surgery in Fitchburg, Wisconsin and active in the NPI registry since November 2024. The organization lists Mary Elizabeth Hickner, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1629892674
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFITCHBURG PODIATRY LLC
Location Address2960 TRIVERTON PIKE DR STE 107Fitchburg, WI 53711-7516
Mailing Address2960 Triverton Pike Dr Ste 107Fitchburg, WI 53711-7516 · (307) 714-2316
Phone(307) 714-2316
Organization SubpartNo
Authorized OfficialMary Elizabeth HicknerPodiatrist · (307) 714-2316
Enumeration DateNovember 14, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1629892674 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
2960 TRIVERTON PIKE DR STE 107, Fitchburg, WI 53711
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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

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

MARY ELIZABETH HICKNER
Podiatrist
2960 TRIVERTON PIKE DR STE 107
FITCHBURG, WI 53711
Dane County (307) 714-2316

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 Fitchburg Podiatry LLC's NPI number?

The NPI number for Fitchburg Podiatry LLC is 1629892674. It was assigned to this organization in the NPPES registry on November 14, 2024.

Where is Fitchburg Podiatry LLC located?

Fitchburg Podiatry LLC is located at 2960 Triverton Pike Dr Ste 107, Fitchburg, WI 53711. The listed phone number is (307) 714-2316.

What is Fitchburg Podiatry LLC'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 Fitchburg Podiatry LLC was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.