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COMMONWEALTH FOOT AND ANKLE CENTER NPI 1093097933


NPI Information

NPI: 1093097933
Provider Name: COMMONWEALTH FOOT AND ANKLE CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 18D1061234

Address:
401 E CHESTNUT ST
SUITE 240
LOUISVILLE, KY
ZIP 40202
Phone: (502) 459-3338
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COMMONWEALTH FOOT AND ANKLE CENTER is a durable medical equipment medical supplies in Louisville, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COMMONWEALTH FOOT AND ANKLE CENTER NPI is 1093097933. The provider is registered as an organization entity type.

The provider's business location address is:

401 E CHESTNUT ST
SUITE 240
LOUISVILLE, KY
ZIP 40202-700
Phone: (502) 459-3338
Fax: (502) 459-7509

The provider's authorized official is Benjamin M Schaffer .
The authorized official title is President and has the following contact phone number (502) 459-3338.

The CLIA number assigned to this NPI record is 18D1061234 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2011 and was last updated on 8/14/2013.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332B00000XDurable Medical Equipment & Medical Supplies00157KENTUCKYYes

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
14039090002MEDICARE NSCKENTUCKY
27100246740MEDICAIDKENTUCKY

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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