ACHILLES FOOT HEALTH CENTER L.L.C. NPI 1861670770

NPI Information

NPI: 1861670770
Provider Name: ACHILLES FOOT HEALTH CENTER, L.L.C.

Doing Business As: ADVANCED FOOTCARE SPECIALISTS OF CONNECTICUT L.L.C.

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
20 WASHINGTON AVE
SUITE 212
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 239-1119
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ACHILLES FOOT HEALTH CENTER, L.L.C. is a foot surgery podiatrist in North Haven, CT. ACHILLES FOOT HEALTH CENTER, L.L.C. NPI is 1861670770. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Footcare Specialists Of Connecticut L.l.c..

The provider's business location address is:

20 WASHINGTON AVE
SUITE 212
NORTH HAVEN, CT
ZIP 06473-343
Phone: (203) 239-1119
Fax: (203) 234-1832

The provider's authorized official is Richard W. Durocher .
The authorized official title is Owner Of Practice and has the following contact phone number (203) 239-1119.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/20/2015.

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		00709	CONNECTICUT	No
2	213ES0131X	Podiatrist	Foot Surgery	00709	CONNECTICUT	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	11066538	OTHER	CONNECTICUT	MULTIPLAN
2	2110284	OTHER	CONNECTICUT	AETNA
3	60353065001	OTHER	CONNECTICUT	CIGNA
4	DO3120	OTHER	CONNECTICUT	MEDICARE RAILROAD
5	008003227	MEDICAID	CONNECTICUT
6	P1271789	OTHER	CONNECTICUT	OXFORD
7	1296940001	MEDICARE NSC	CONNECTICUT
8	103244500	OTHER	CONNECTICUT	FEDERAL DOL OWCP
9	U61221	MEDICARE UPIN	CONNECTICUT
10	C01740	MEDICARE PIN	CONNECTICUT
11	2704187	OTHER	CONNECTICUT	UNTIED HEALTHCARE
12	CPD# 1392050	OTHER	CONNECTICUT	AETNA - COVENTRY-FIRST HEALTH
13	004191277	MEDICAID	CONNECTICUT
14	007090	OTHER	CONNECTICUT	CONNECTICARE
15	030000709CT01	OTHER	CONNECTICUT	ANTHEM

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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