MECKLENBURG FOOT & ANKLE ASSOCIATES NPI 1639354673

NPI Information

NPI: 1639354673
Provider Name: MECKLENBURG FOOT & ANKLE ASSOCIATES
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3535 RANDOLPH RD
SUITE 107
CHARLOTTE, NC
ZIP 28211
Phone: (704) 442-8433
Get Directions

MECKLENBURG FOOT & ANKLE ASSOCIATES is a foot and ankle surgery podiatrist in Charlotte, NC. MECKLENBURG FOOT & ANKLE ASSOCIATES NPI is 1639354673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 RANDOLPH RD
SUITE 107
CHARLOTTE, NC
ZIP 28211-086
Phone: (704) 442-8433
Fax: (704) 442-8471

The provider's authorized official is Robert M Liesman .
The authorized official title is President and has the following contact phone number (704) 442-8433.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/9/2008.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	356	NORTH CAROLINA	Yes

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
1	U54728	MEDICARE UPIN	NORTH CAROLINA
2	1202020001	MEDICARE PIN	NORTH 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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »