MECKLENBURG FOOT & ANKLE ASSOCIATES AND DIABETIC FOOT CLINIC PC NPI 1881724227

NPI Information

NPI: 1881724227
Provider Name: MECKLENBURG FOOT & ANKLE ASSOCIATES AND DIABETIC FOOT CLINIC PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2115 E 7TH ST STE 102
CHARLOTTE, NC
ZIP 28204
Phone: (704) 442-8433
Get Directions

MECKLENBURG FOOT & ANKLE ASSOCIATES AND DIABETIC FOOT CLINIC PC is a foot and ankle surgery podiatrist in Charlotte, NC. MECKLENBURG FOOT & ANKLE ASSOCIATES AND DIABETIC FOOT CLINIC PC NPI is 1881724227. The provider is registered as an organization entity type.

The provider's business location address is:

2115 E 7TH ST STE 102
CHARLOTTE, NC
ZIP 28204-300
Phone: (704) 442-8433
Fax: (704) 817-9957

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

The enumeration date for this NPI number is 3/6/2007 and was last updated on 11/21/2018.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	207XX0004X	Orthopaedic Surgery	Foot and Ankle Surgery			No
3	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	0268L	OTHER	NORTH CAROLINA	GROUP NUMBER
2	890268L	MEDICAID	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

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