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EXTENDED FOOT CARE SERVICES LLC NPI 1437207727


NPI Information

NPI: 1437207727
Provider Name: EXTENDED FOOT CARE SERVICES, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3610 WATERMELON RD
SUITE 103
NORTHPORT, AL
ZIP 35473
Phone: (205) 345-9218
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EXTENDED FOOT CARE SERVICES, LLC is a podiatrist in Northport, AL. 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. EXTENDED FOOT CARE SERVICES, LLC NPI is 1437207727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3610 WATERMELON RD
SUITE 103
NORTHPORT, AL
ZIP 35473-170
Phone: (205) 345-9218
Fax: (205) 345-2952

The provider's authorized official is Jack S Marquis .
The authorized official title is Owner and has the following contact phone number (205) 345-9218.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 9/9/2015.


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
1213E00000XPodiatrist123ALABAMAYes

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
1051552702MEDICARE ID-TYPE UNSPECIFIEDALABAMADRM'S IND. MEDICARE #
2U54186MEDICARE UPINALABAMA

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: 11/14/2023

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