FOOT HEALTH CENTER, LLC (NPI# 1053400176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053400176 |
| Entity Type | Organization |
| Organization Name | FOOT HEALTH CENTER, LLC |
| Other Organization Name | MEDICARE NSC |
| Practice Address |
714 S Main St Cheshire CT 06410-3448 |
| Practice Telephone | 2032710556 |
| Practice Fax Number | 2032509951 |
| Mailing Telephone | 2032710556 |
| Mailing Fax Number | 2032509951 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | DR. MICHAEL J ACKLEY (PODIATRIST, OWNER) |
| Authorized Official Telephone | 2032710556 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 395 | CT | Suppliers |
| Y | 213E00000X | Podiatrist | 395 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | 2V1300 | 01 |
| CT | FIRST CHOICE PREF ONE | 129286 | 01 |
| CT | ANTHEM BCBS | 030000395CT01 | 01 |
| CT | AETNA | 2721297 | 01 |
| CT | CONNECTICARE | 787023 | 01 |
| CT | WELLCARE | 129286 | 01 |
| CT | CIGNA | 0542290 | 01 |
| CT | 4068714 | 05 | |
| CT | MEDICARE RAILROAD | 480028957 | 01 |
| CT | OXFORD HEALTH PLAN | NHS221 | 01 |
| Other Name | Type Code |
|---|---|
| Medicare NSC | Doing Business As Name - Organization |
| Street Address |
714 S MAIN ST |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928074 | Michael Jospeh Ackley | Podiatrist | 714 S Main St, Cheshire, CT 06410-3448 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101635 | Neal Bradley Zomback | Podiatrist | 478 S Main St, Cheshire, CT 06410-3117 | 2006-07-23 |
| 1124163001 | Herbert M. Karpelman, Jr., D.p.m. | Podiatrist | 97 Main St, Cheshire, CT 06410-2405 | 2007-02-20 |
| 1669486437 | So Ching Wong | Podiatrist | 1113 S Main St, Suite C, Cheshire, CT 06410-3436 | 2006-07-28 |
| 1093771669 | Herbert M. Karpelman Jr. | Podiatrist | 97 Main St, Cheshire, CT 06410-2405 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
| Find all providers with the same taxonomy | ||||
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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.