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ACHILLIES FOOT AND ANKLE CENTER INC NPI 1205055332


NPI Information

NPI: 1205055332
Provider Name: ACHILLIES FOOT AND ANKLE CENTER INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
317 B GUTHERIE GREEN
LOUISVILLE, KY
ZIP 40202
Phone: (502) 585-3668
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ACHILLIES FOOT AND ANKLE CENTER INC is a podiatrist in Louisville, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ACHILLIES FOOT AND ANKLE CENTER INC NPI is 1205055332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

317 B GUTHERIE GREEN
LOUISVILLE, KY
ZIP 40202
Phone: (502) 585-3668

The provider's authorized official is Gerardo Ulfe .
The authorized official title is Owner and has the following contact phone number (502) 585-3668.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 8/24/2010.


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
1213E00000XPodiatrist00219KENTUCKYYes

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
1DG6310OTHERRAILROAD MEDICARE
2=========OTHERKENTUCKYTAX ID
380002199MEDICAIDKENTUCKY
41148870001MEDICARE NSCKENTUCKY
500493MEDICARE PINKENTUCKY
66042120001MEDICARE NSC

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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