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SOUTH BALDWIN PODIATRY P.C. NPI 1922043140


NPI Information

NPI: 1922043140
Provider Name: SOUTH BALDWIN PODIATRY, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1770 N ALSTON ST
FOLEY, AL
ZIP 36535
Phone: (251) 943-3668
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SOUTH BALDWIN PODIATRY, P.C. is a podiatrist in Foley, AL. 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. SOUTH BALDWIN PODIATRY, P.C. NPI is 1922043140. The provider is registered as an organization entity type.

The provider's business location address is:

1770 N ALSTON ST
FOLEY, AL
ZIP 36535-274
Phone: (251) 943-3668
Fax: (251) 943-3314

The provider's authorized official is Keri Kraft .
The authorized official title is Office Manager and has the following contact phone number (251) 943-3668.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/23/2013.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213E00000XPodiatrist244ALABAMAYes

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
1051503119MEDICARE ID-TYPE UNSPECIFIEDDEBRA M. GIBSON, DPM
2529908470MEDICAIDALABAMA
3DG0469MEDICARE PINALABAMA
4U85663MEDICARE UPINALABAMA
5J573MEDICARE PINALABAMA
64269840001MEDICARE 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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