Advanced Foot and Ankle Center of Kenosha S.c.
NPI 1104279561 · Podiatrist · Kenosha, WI
Advanced Foot and Ankle Center of Kenosha S.c. is a Podiatrist organization in Kenosha, WI (NPI 1104279561).
Provider details
- NPI number
- 1104279561
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Dana Derouin, President(262) 652-6555
- License
- 1029-25 (WI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2016-07-20
Frequently asked questions
- What is Advanced Foot and Ankle Center of Kenosha S.c.'s NPI number?
- Advanced Foot and Ankle Center of Kenosha S.c.'s National Provider Identifier (NPI) is 1104279561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Foot and Ankle Center of Kenosha S.c.?
- Advanced Foot and Ankle Center of Kenosha S.c. is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Advanced Foot and Ankle Center of Kenosha S.c. located?
- Advanced Foot and Ankle Center of Kenosha S.c.'s practice location on file with NPPES is 2901 35th St, Kenosha, WI 53140-5117.
- What is Advanced Foot and Ankle Center of Kenosha S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Foot and Ankle Center of Kenosha S.c. is (262) 652-6555.
- Who is the authorized official for Advanced Foot and Ankle Center of Kenosha S.c.?
- The authorized official listed on Advanced Foot and Ankle Center of Kenosha S.c.'s NPPES record is Dana Derouin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Foot and Ankle Center of Kenosha S.c.'s NPI active?
- Yes — Advanced Foot and Ankle Center of Kenosha S.c.'s NPI (1104279561) is active in the NPPES registry as of the last update on 2016-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.