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FAMILY FOOT AND ANKLE PHYSICIANS PLLC NPI 1952611543


NPI Information

NPI: 1952611543
Provider Name: FAMILY FOOT AND ANKLE PHYSICIANS PLLC

Former Legal Business Name: FAMILY FOOT AND ANKLE PHYSICIANS

Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 34D2138712

Address:
1432 E. FIRETOWER ROAD
GREENVILLE, NC
ZIP 27858
Phone: (252) 439-1150
Get Directions

FAMILY FOOT AND ANKLE PHYSICIANS PLLC is a podiatrist in Greenville, NC. 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. FAMILY FOOT AND ANKLE PHYSICIANS PLLC NPI is 1952611543. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Family Foot And Ankle Physicians.

The provider's business location address is:

1432 E. FIRETOWER ROAD
GREENVILLE, NC
ZIP 27858-105
Phone: (252) 439-1150
Fax: (252) 439-1152

The provider's authorized official is Debbie Ravn .
The authorized official title is Office Manager and has the following contact phone number (252) 439-1150.

The CLIA number assigned to this NPI record is 34D2138712 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2010 and was last updated on 7/14/2014.


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
1213E00000XPodiatristNo
2213E00000XPodiatrist537NORTH CAROLINANo
3213E00000XPodiatrist581NORTH CAROLINANo
4213ES0103XPodiatristFoot & Ankle Surgery537NORTH CAROLINANo
5213E00000XPodiatrist412NORTH 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
16520750001MEDICARE NSCNORTH CAROLINA
22348076MEDICARE PIN

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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