Provider Type Icon

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC NPI 1154107837


NPI Information

NPI: 1154107837
Provider Name: FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1630 CAMPUS PARK DR STE A
MONROE, NC
ZIP 28112
Phone: (704) 292-1380
Get Directions

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC is a clinic center in Monroe, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC NPI is 1154107837. The provider is registered as an organization entity type.

The provider's business location address is:

1630 CAMPUS PARK DR STE A
MONROE, NC
ZIP 28112-270
Phone: (704) 292-1380
Fax: (704) 296-0977

The provider's authorized official is Michael Tritto .
The authorized official title is Dpm/owner and has the following contact phone number (301) 933-7133.

The enumeration date for this NPI number is 9/7/2023 and was last updated on 9/7/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213E00000XPodiatristNo
3213ES0103XPodiatristFoot & Ankle SurgeryNo
4261Q00000XClinic/CenterYes

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: 5/5/2024

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.