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ASSOCIATED FOOT AND ANKLE CLINICS PSC NPI 1417980400


NPI Information

NPI: 1417980400
Provider Name: ASSOCIATED FOOT AND ANKLE CLINICS PSC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1830 DESTINY LN
SUITE 110
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 846-3338
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ASSOCIATED FOOT AND ANKLE CLINICS PSC is a podiatrist in Bowling Green, KY. 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. ASSOCIATED FOOT AND ANKLE CLINICS PSC NPI is 1417980400. The provider is registered as an organization entity type.

The provider's business location address is:

1830 DESTINY LN
SUITE 110
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 846-3338
Fax: (270) 846-3318

The provider's authorized official is Richard Young .
The authorized official title is Dpm Owner and has the following contact phone number (270) 846-3338.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2013.


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
1332B00000XDurable Medical Equipment & Medical Supplies230KENTUCKYNo
2213E00000XPodiatristYes

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
190004391OTHERKENTUCKYMEDICAID DME
27131MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGROUP NUMBER
380900319MEDICAIDKENTUCKY
4DF9516OTHERKENTUCKYRAILROAD MEDICARE
53968900001MEDICARE NSCKENTUCKY

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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