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INSTRIDE FOOT AND ANKLE SPECIALISTS PLLC NPI 1790039154


NPI Information

NPI: 1790039154
Provider Name: INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC

Doing Business As: COMPREHENSIVE FOOT & ANKLE CENTER

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2711 RANDOLPH RD
SUITE 503
CHARLOTTE, NC
ZIP 28207
Phone: (704) 332-5115
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INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC is a foot and ankle surgery podiatrist in Charlotte, NC. INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC NPI is 1790039154. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Comprehensive Foot & Ankle Center.

The provider's business location address is:

2711 RANDOLPH RD
SUITE 503
CHARLOTTE, NC
ZIP 28207-034
Phone: (704) 332-5115
Fax: (704) 332-5116

The provider's authorized official is Zachary J Nellas .
The authorized official title is Partner and has the following contact phone number (704) 332-5115.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 9/22/2015.


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
1213ES0103XPodiatristFoot & Ankle Surgery413NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16712460015MEDICARE NSCNORTH CAROLINA
2U63439MEDICARE UPINNORTH CAROLINA
3790801YMEDICAIDNORTH CAROLINA
4NCA023MEDICARE PINNORTH 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

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