AUTAUGA FAMILY FOOT CARE CLINIC (NPI# 1013187152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013187152 |
| Entity Type | Organization |
| Organization Name | AUTAUGA FAMILY FOOT CARE CLINIC |
| Practice Address |
660 Mcqueen Smith Rd N Ste F Prattville AL 36066-7559 |
| Mailing Address |
660 Mcqueen Smith Rd N Ste F Prattville AL 36066-7554 |
| Practice Telephone | 3343588666 |
| Practice Fax Number | 3343588667 |
| Mailing Telephone | 3343588666 |
| Mailing Fax Number | 3343588667 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | TROY DAVID ZIMBELMAN (OWNER) |
| Authorized Official Telephone | 3343588666 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
182 | AL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
660 MCQUEEN SMITH RD N STE F |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447607494 | Prattville Dental Associates, LLC | Dentist | 660 Mcqueen Smith Rd N, Prattville, AL 36066-7554 | 2016-05-19 |
| 1184092488 | Holli Hinote Johnson | Nurse Practitioner | 660 Mcqueen Smith Rd N, Ste E, Prattville, AL 36066-7554 | 2015-09-03 |
| 1780953588 | Southeastern Balance Centers LLC | Podiatrist | 660 Mcqueen Smith Rd N, Suite F, Prattville, AL 36066-7554 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528076023 | Silvia E Garcia-lavin | Podiatrist | 2004 Home Park Trl, 111, Prattville, AL 36066-7779 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918748 | Kenneth John Unger | Podiatrist | 1808 7th Ave S # Bdb661, Birmingham, AL 35233-1912 | 2019-08-22 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1437459732 | Coastal Foot Center LLC | Podiatrist | 9912 Dimitrios Ave, Ste 103, Daphne, AL 36526-9569 | 2010-11-02 |
| 1023180882 | Eric Todd Falls | Podiatrist | 2000 Stonegate Trl Ste 112, Vestavia Hls, AL 35242-2237 | 2006-11-15 |
| 1124104708 | Hope S Brustein | Podiatrist | 7112 University Ct, Montgomery, AL 36117-8045 | 2006-10-27 |
| 1164510046 | Elliot Jay Braun | Podiatrist | 1371 Montlimar Dr, Mobile, AL 36609-1645 | 2006-10-10 |
| 1497850655 | Mark L. Midenberg | Podiatrist | 115 Queensbury Dr Sw, Huntsville, AL 35802-1501 | 2006-09-13 |
| 1730108093 | Scott Anthony Doherty | Podiatrist | 9971 Airport Blvd, Mobile, AL 36608-9525 | 2006-07-18 |
| 1558343780 | William Scott Rogers Sr. | Podiatrist | 5614 Cottage Hill Rd, Suite A, Mobile, AL 36609-4211 | 2005-11-15 |
| 1053392175 | Patricia Mary Antero | Podiatrist | 215 Hargrove Rd E, Tuscaloosa, AL 35401-5027 | 2005-11-07 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on AUTAUGA FAMILY FOOT CARE CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.