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TOTAL FOOT CARE INC. OF TENNESSEE NPI 1518094085


NPI Information

NPI: 1518094085
Provider Name: TOTAL FOOT CARE, INC. OF TENNESSEE
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1204 MADISON AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 523-7698
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TOTAL FOOT CARE, INC. OF TENNESSEE is a foot surgery podiatrist in Memphis, TN. TOTAL FOOT CARE, INC. OF TENNESSEE NPI is 1518094085. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1204 MADISON AVE
MEMPHIS, TN
ZIP 38104-226
Phone: (901) 523-7698
Fax: (901) 272-2045

The provider's authorized official is Tyrone Teako Davis .
The authorized official title is Physician and has the following contact phone number (901) 523-7698.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/18/2010.


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
1213ES0131XPodiatristFoot Surgery652TENNESSEEYes

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
14142034OTHERTENNESSEEBCBST
25846550001MEDICARE NSC
33736397MEDICARE PINTENNESSEE
4U64500MEDICARE UPINTENNESSEE
53354184MEDICAIDTENNESSEE

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.