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ADVANCED FOOT & ANKLE CENTER PC NPI 1538237474


NPI Information

NPI: 1538237474
Provider Name: ADVANCED FOOT & ANKLE CENTER, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
137 PROFESSIONAL PARK DR.
SUITE C
MOORESVILLE, NC
ZIP 28117
Phone: (704) 662-8336
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ADVANCED FOOT & ANKLE CENTER, PC is a podiatrist in Mooresville, 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. ADVANCED FOOT & ANKLE CENTER, PC NPI is 1538237474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

137 PROFESSIONAL PARK DR.
SUITE C
MOORESVILLE, NC
ZIP 28117
Phone: (704) 662-8336
Fax: (704) 662-8525

The provider's authorized official is Kenneth E Bloom .
The authorized official title is Owner and has the following contact phone number (704) 662-8336.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 5/26/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist001752814NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15905761MEDICAIDNORTH CAROLINA
22344687MEDICARE PINNORTH CAROLINA
35819850001MEDICARE NSCNORTH 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: 5/5/2024

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