Rock River Foot & Ankle Clinic, SC
NPI 1043263007ActiveOrganization· Podiatrist· Watertown, WI
Podiatrist in Watertown, Wisconsin, registered in NPPES in May 2006, part of Rock River Foot & Ankle Clinic, SC. The authorized official on file is Victor Stephen Soderstrom, DPM, Physician Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1043263007 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Rock River Foot & Ankle Clinic, SC |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | Feb 26, 2025 |
| Certified by provider | Feb 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (WI); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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