GREAT LAKES FOOT & ANKLE CENTERS INC
GREAT LAKES FOOT & ANKLE CENTERS INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1295941409, based in Kenosha, WI. It is classified under Foot & Ankle Surgery Podiatrist.
Getting there
The practice address on file is 6123 GREEN BAY RD SUITE 100, Kenosha, WI 53142. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 025 | WI | Foot & Ankle Surgery Podiatrist primary |
| 016 | IL | Foot & Ankle Surgery Podiatrist |
Licences are recorded in 2 states: WI, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4789651894
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Wisconsin. The practice address on file is in Kenosha, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 025
- Specialty
- Foot & Ankle Surgery Podiatrist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Foot & Ankle Surgery covers
Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0103X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 025 | WI | primary |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 016 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1295941409 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 15, 2007 |
| Last updated | Sep 20, 2021 |
| Status | Active |
| Practice address |
6123 GREEN BAY RD SUITE 100 Kenosha, WI 53142 (262) 652-3668 Fax (262) 652-0564 |
| Other identifiers |
43215000
(WI) 43237400 (WI) 43220100 (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 9 | 5 | 9 | 4 | 1 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 9 | 5 | 9 | 4 | 2 | 4 | 0 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.