NORTHERN KENTUCKY FOOT SPECIALISTS, PSC (NPI# 1073695599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073695599 |
| Entity Type | Organization |
| Organization Name | NORTHERN KENTUCKY FOOT SPECIALISTS, PSC |
| Practice Address |
1125 Boone Aire Rd Florence KY 41042-1201 |
| Mailing Address |
Po Box 389 Burlington KY 41005-0389 |
| Practice Telephone | 8593714020 |
| Practice Fax Number | 8597467464 |
| Mailing Telephone | 8597467461 |
| Mailing Fax Number | 8597467464 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | WILLIAM M NIELSON (PRESIDENT) |
| Authorized Official Telephone | 8597467461 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 80903644 | 05 | |
| KY | 90040080 | 05 | |
| KY | RR MEDICARE | C11409 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265529416 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 4327 Winston Ave, Covington, KY 41015-1739 | 2006-10-09 |
| 1760404271 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-07-24 |
| 1437237500 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-11-02 |
| 1295811008 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-10-27 |
| 1225114044 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-27 |
| 1609958123 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-20 |
| 1518049030 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 4327 Winston Ave, Covington, KY 41015-1739 | 2006-10-20 |
| 1346337599 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| 1366539512 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| Street Address |
1125 BOONE AIRE RD |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760404271 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| 1700335544 | Palmetto State Surgical Podiatry Associates | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2016-09-21 |
| 1619350162 | Jessica Fink | Podiatrist | 709 W Evans St, Florence, SC 29501-3411 | 2015-07-01 |
| 1922437607 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 315 Broad St, Florence, NJ 08518-1911 | 2013-11-04 |
| 1174870406 | James Michael Morrow | Podiatrist | 7370 Turfway Rd, Florence, KY 41042 | 2012-08-06 |
| 1588922686 | Mohiuddin Bilal Shamsi | Podiatrist | 7370 Turfway Rd, Ste 320, Florence, KY 41042 | 2012-04-26 |
| 1063665636 | Jordanna Lynn Baker | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2008-10-28 |
| 1255503413 | Misty Nicole Lee | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2008-03-27 |
| 1992977102 | J D Smith Dpm P C | Podiatrist | 202 Rosa Ln, Florence, AL 35630-1769 | 2008-03-27 |
| 1295811008 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-10-27 |
| Find all providers in FLORENCE | ||||
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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.