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SMOKY MOUNTAIN FOOT CLINIC PA NPI 1205911906


NPI Information

NPI: 1205911906
Provider Name: SMOKY MOUNTAIN FOOT CLINIC PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
573 MERRIMON AVE
ASHEVILLE, NC
ZIP 28804
Phone: (828) 254-7716
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SMOKY MOUNTAIN FOOT CLINIC PA is a podiatrist in Asheville, NC. 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. SMOKY MOUNTAIN FOOT CLINIC PA NPI is 1205911906. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

573 MERRIMON AVE
ASHEVILLE, NC
ZIP 28804-490
Phone: (828) 254-7716

The provider's authorized official is William D Banks .
The authorized official title is Ceo and has the following contact phone number (828) 452-4343.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 11/9/2011.


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
1213E00000XPodiatrist346NORTH CAROLINANo
2213E00000XPodiatristB01NORTH CAROLINANo
3213E00000XPodiatrist380NORTH CAROLINANo
4213E00000XPodiatrist469NORTH CAROLINAYes

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
15911409MEDICAIDNORTH CAROLINA
20806BOTHERNORTH CAROLINABCBS
32432485BMEDICARE ID-TYPE UNSPECIFIED
4890808PMEDICAIDNORTH CAROLINA
5C12474MEDICARE PINNORTH CAROLINA
60800AOTHERNORTH CAROLINABCBS
70808POTHERBCBS
8U91975MEDICARE UPIN
92433053CMEDICARE ID-TYPE UNSPECIFIED
10890800AMEDICAIDNORTH CAROLINA
110571680001MEDICARE NSCNORTH CAROLINA
12U63367MEDICARE UPIN
13DA9077MEDICARE PINNORTH CAROLINA
142432623AMEDICARE PINNORTH CAROLINA
152433653MEDICARE ID-TYPE UNSPECIFIED
160807KOTHERNORTH CAROLINABCBS
17U44307MEDICARE UPIN
18U13002MEDICARE UPIN
192431981EMEDICARE ID-TYPE UNSPECIFIED
20890801KMEDICAIDNORTH CAROLINA
2189086BMEDICAIDNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.