ADVANCED ANKLE AND FOOT CENTER LLC NPI 1760556104

NPI Information

NPI: 1760556104
Provider Name: ADVANCED ANKLE AND FOOT CENTER, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9759 FAIRWAY DR
POWELL, OH
ZIP 43065
Phone: (614) 792-3668
Get Directions

ADVANCED ANKLE AND FOOT CENTER, LLC is a foot and ankle surgery podiatrist in Powell, OH. ADVANCED ANKLE AND FOOT CENTER, LLC NPI is 1760556104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9759 FAIRWAY DR
POWELL, OH
ZIP 43065
Phone: (614) 792-3668
Fax: (614) 792-7615

The provider's authorized official is Robert B Vancourt .
The authorized official title is Owner Podiatrist and has the following contact phone number (614) 792-3668.

The enumeration date for this NPI number is 11/18/2006 and was last updated on 8/29/2012.

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			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	DE8613	OTHER		RAILROAD MEDICARE
2	9359881	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	5601130001	MEDICARE NSC	OHIO

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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