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EASTOVER FOOT & ANKLE PA NPI 1932297264


NPI Information

NPI: 1932297264
Provider Name: EASTOVER FOOT & ANKLE PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
428 N. TRADE STREET
SUITE 100
MATTHEWS, NC
ZIP 28105
Phone: (704) 841-4000
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EASTOVER FOOT & ANKLE PA is a foot and ankle surgery podiatrist in Matthews, NC. EASTOVER FOOT & ANKLE PA NPI is 1932297264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

428 N. TRADE STREET
SUITE 100
MATTHEWS, NC
ZIP 28105-017
Phone: (704) 841-4000
Fax: (704) 841-4338

The provider's authorized official is Ronald Victor Futerman .
The authorized official title is President and has the following contact phone number (704) 841-4000.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 10/2/2015.


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
1213ES0103XPodiatristFoot & Ankle Surgery200001392347NORTH 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
10658010001MEDICARE NSCNORTH CAROLINA
22432678MEDICARE PINNORTH CAROLINA
30172MOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD NC
4890172MMEDICAIDNORTH CAROLINA
5CA5050MEDICARE PINNORTH 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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