FYNE FOOT CARE CENTER (NPI# 1043574643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043574643 |
| Entity Type | Organization |
| Organization Name | FYNE FOOT CARE CENTER |
| Practice Address |
1710 Central Ave Augusta GA 30904-5733 |
| Practice Telephone | 7063734402 |
| Mailing Telephone | 7063734402 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | DR. LATANYA PATTERSON-FYNE (DOCTOR) |
| Authorized Official Telephone | 7063734402 |
| 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 |
POD000619 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1710 CENTRAL AVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114980083 | Ralph Glen Owen | Specialist | 1710 Central Ave, Augusta, GA 30904-5733 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1922272012 | Foot and Ankle Center of Augusta | Podiatrist | 1142 Druid Park Ave, Augusta, GA 30904-5850 | 2008-04-18 |
| 1144262148 | Christopher David Anna | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-06-12 |
| 1871026179 | Kirmanj Tahsin Atrushi | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2017-04-04 |
| 1467887877 | Trevor Sean Payne | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2013-09-05 |
| 1366675209 | Sakiyna Rose | Podiatrist | 1 Freedom Way, Augusta, GA 30904-6258 | 2009-08-26 |
| 1043361074 | Augusta Center for Foot and Ankle Surgery | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2007-01-16 |
| 1366513988 | Augusta Foot & Ankle, PC | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-11-13 |
| 1629175013 | Henry Coleman Scheuller | Podiatrist | Togus Va Medical Center, 1 Va Center, Augusta, ME 04330-6796 | 2006-09-20 |
| 1023114238 | Mickey Dwight Stapp | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-09-15 |
| Find all providers in AUGUSTA | ||||
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| 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.