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FOOT HEALTH CENTER LLC NPI 1053400176


NPI Information

NPI: 1053400176
Provider Name: FOOT HEALTH CENTER, LLC

Doing Business As: MEDICARE NSC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
714 S MAIN ST
CHESHIRE, CT
ZIP 06410
Phone: (203) 271-0556
Get Directions

FOOT HEALTH CENTER, LLC is a podiatrist in Cheshire, CT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT HEALTH CENTER, LLC NPI is 1053400176. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicare Nsc.

The provider's business location address is:

714 S MAIN ST
CHESHIRE, CT
ZIP 06410-448
Phone: (203) 271-0556
Fax: (203) 250-9951

The provider's authorized official is Michael J Ackley .
The authorized official title is Podiatrist, Owner and has the following contact phone number (203) 271-0556.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies395CONNECTICUTNo
2213E00000XPodiatrist395CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1129286OTHERCONNECTICUTWELLCARE
2787023OTHERCONNECTICUTCONNECTICARE
34475020001MEDICARE NSCCONNECTICUT
4480028957OTHERCONNECTICUTMEDICARE RAILROAD
5T22829MEDICARE UPINCONNECTICUT
64068714MEDICAIDCONNECTICUT
70542290OTHERCONNECTICUTCIGNA
8030000395CT01OTHERCONNECTICUTANTHEM BCBS
92721297OTHERCONNECTICUTAETNA
102V1300OTHERCONNECTICUTHEALTHNET
11NHS221OTHERCONNECTICUTOXFORD HEALTH PLAN
12480000300MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
13129286OTHERCONNECTICUTFIRST CHOICE PREF ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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