DR. MICHAEL JOSPEH ACKLEY DPM NPI 1114928074

NPI Information

NPI: 1114928074
Provider Name: DR. MICHAEL JOSPEH ACKLEY, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
714 S MAIN ST
CHESHIRE, CT
ZIP 06410
Phone: (203) 271-0556
Get Directions

DR. Michael Jospeh Ackley, DPM is a primary podiatric medicine podiatrist in Cheshire, CT. DR. Michael Jospeh Ackley, DPM NPI is 1114928074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 NPI 1114928074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/2/2005 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0000X	Podiatrist	Sports Medicine	395	CONNECTICUT	No
2	213ES0131X	Podiatrist	Foot Surgery	395	CONNECTICUT	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		395	CONNECTICUT	No
4	213EP1101X	Podiatrist	Primary Podiatric Medicine	395	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	030000395CT01	OTHER	CONNECTICUT	ANTHEM BCBS
2	129286	OTHER	CONNECTICUT	FIRST CHOICE PREF ONE
3	787023	OTHER	CONNECTICUT	CONNECTICARE
4	4068714	MEDICAID	CONNECTICUT
5	0542290	OTHER	CONNECTICUT	CIGNA
6	129286	OTHER	CONNECTICUT	WELLCARE
7	T22829	MEDICARE UPIN	CONNECTICUT
8	4475020001	MEDICARE NSC	CONNECTICUT
9	480028957	OTHER	CONNECTICUT	MEDICARE RAILROAD
10	2V1300	OTHER	CONNECTICUT	HEALTHNET
11	NHS221	OTHER	CONNECTICUT	OXFORD HEALTH PLAN
12	480000300	MEDICARE PIN	CONNECTICUT
13	2721297	OTHER	CONNECTICUT	AETNA

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

NPI Synchronization or Removal

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