FAYETTEVILLE FOOT AND ANKLE CENTER NPI 1821132424

NPI Information

NPI: 1821132424
Provider Name: FAYETTEVILLE FOOT AND ANKLE CENTER
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
503 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-3338
Get Directions

FAYETTEVILLE FOOT AND ANKLE CENTER is a foot and ankle surgery podiatrist in Fayetteville, NC. FAYETTEVILLE FOOT AND ANKLE CENTER NPI is 1821132424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

503 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-433
Phone: (910) 483-3338
Fax: (910) 483-3386

The provider's authorized official is George John Demetri .
The authorized official title is Doctor and has the following contact phone number (910) 483-3338.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 3/22/2011.

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	240	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	4756810001	MEDICARE NSC	NORTH CAROLINA
2	890805F	MEDICAID	NORTH CAROLINA
3	2432962A	MEDICARE PIN	NORTH CAROLINA
4	T64092	MEDICARE UPIN	NORTH CAROLINA
5	0153T	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

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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