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COMPREHENSIVE FOOT AND ANKLE CENTERPA NPI 1356524037


NPI Information

NPI: 1356524037
Provider Name: COMPREHENSIVE FOOT AND ANKLE CENTER,PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1928 RANDOLPH RD
SUITE 214
CHARLOTTE, NC
ZIP 28207
Phone: (704) 562-6384
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COMPREHENSIVE FOOT AND ANKLE CENTER,PA is a foot and ankle surgery podiatrist in Charlotte, NC. COMPREHENSIVE FOOT AND ANKLE CENTER,PA NPI is 1356524037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1928 RANDOLPH RD
SUITE 214
CHARLOTTE, NC
ZIP 28207-105
Phone: (704) 562-6384

The provider's authorized official is Zachary J Nellas .
The authorized official title is Owner and has the following contact phone number (704) 562-6384.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 1/26/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16075000001MEDICARE NSCNORTH CAROLINA
2790801YMEDICAIDNORTH CAROLINA
3U63439MEDICARE UPINNORTH CAROLINA
4D02704OTHERNORTH CAROLINAMEDICARE RAILROAD
52433484CMEDICARE PINNORTH CAROLINA
6NPD413MEDICAIDSOUTH 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: 5/5/2024
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