ADVANCED FOOT & ANKLE CARE OF MEMPHIS LLC NPI 1649471467

NPI Information

NPI: 1649471467
Provider Name: ADVANCED FOOT & ANKLE CARE OF MEMPHIS, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2900 KIRBY RD
SUITE 5
MEMPHIS, TN
ZIP 38119
Phone: (901) 309-8898
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ADVANCED FOOT & ANKLE CARE OF MEMPHIS, LLC is a foot and ankle surgery podiatrist in Memphis, TN. ADVANCED FOOT & ANKLE CARE OF MEMPHIS, LLC NPI is 1649471467. The provider is registered as an organization entity type.

The provider's business location address is:

2900 KIRBY RD
SUITE 5
MEMPHIS, TN
ZIP 38119-221
Phone: (901) 309-8898
Fax: (901) 309-5908

The provider's authorized official is Nathan Lucas .
The authorized official title is President and has the following contact phone number (901) 309-8898.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 4/9/2020.

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	Primary
1	293D00000X	Physiological Laboratory		No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		No
4	261QP2000X	Clinic/Center	Physical Therapy	No
5	261QP3300X	Clinic/Center	Pain	No
6	3336C0002X	Pharmacy	Clinic Pharmacy	No
7	213ES0103X	Podiatrist	Foot & Ankle Surgery	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	4259570001	OTHER	TENNESSEE	DMERC

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

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