INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC (NPI# 1144692658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144692658 |
| Entity Type | Organization |
| Organization Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| Practice Address |
2845 E Highway 76 Mullins SC 29574-6037 |
| Mailing Address |
1190 Highway 9 Byp W Lancaster SC 29720-1709 |
| Practice Telephone | 8434312780 |
| Mailing Telephone | 8032851444 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | BRANDON S PERCIVAL (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8032851411 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| 1750813978 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 134 Memory Plz, Whiteville, NC 28472-2640 | 2017-03-28 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
| 1942697701 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 40 Autumn Fern Trl # Us401, Lillington, NC 27546-5155 | 2015-04-20 |
| 1710381777 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 9216 Ardrey Kell Rd Ste 100, Charlotte, NC 28277-4954 | 2014-10-20 |
| 1134466113 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 710 Brookdale Dr, Statesville, NC 28677-3406 | 2013-01-10 |
| 1134463060 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 2607 East Seventh St., Suite 100, Charlotte, NC 28204-4308 | 2012-11-15 |
| 1396099511 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 12610 N Community House Rd Ste 202, Charlotte, NC 28277-3838 | 2012-11-09 |
| Street Address |
2845 E HIGHWAY 76 |
| City | MULLINS |
| State | SC |
| Zip Code | 29574-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457308470 | James R Carroll Md Pa | Specialist | 2845 E Highway 76, Suite 2, Mullins, SC 29574-6037 | 2006-05-27 |
| 1699152744 | Janelle K Harford | Obstetrics & Gynecology | 2845 E Highway 76, Mullins, SC 29574-6037 | 2015-04-28 |
| 1982029799 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2845 E Highway 76, Medical Park 2 Ste 1, Mullins, SC 29574-6037 | 2014-03-03 |
| 1346561602 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 | 2010-06-21 |
| 1588985857 | Marion Physician Services LLC | Internal Medicine | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2010-06-21 |
| 1346561263 | Marion Physician Services LLC | Clinic/Center | 2845 E Highway 76, Suite 5, Mullins, SC 29574-6037 | 2010-06-15 |
| 1093049470 | Julianna Maynor | Nurse Practitioner | 2845 E Highway 76, Suite 5, Mullins, SC 29574-6037 | 2009-10-01 |
| 1518166065 | Jun Koike | Obstetrics & Gynecology | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2007-07-15 |
| 1770701153 | Marion Regional Healthcare System | Orthopaedic Surgery | 2845 E Highway 76, Suite 2, Mullins, SC 29574 | 2007-04-23 |
| 1316072382 | Stephen P Regec | Obstetrics & Gynecology | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412921 | Maria Roman | Physical Therapist | 2829 East, Us-76, Mullins, SC 29574 | 2020-03-19 |
| 1679959431 | Healthy Childsmiles, LLC | Clinic/Center | 4504 East Highway 76, Mullins, SC 29574 | 2015-08-04 |
| 1629327549 | Shirley Howell Rogers | Pharmacist | 4005 Cleve Mayers Ct, Mullins, SC 29574 | 2012-09-06 |
| 1588834147 | Monique Hemingway-bell | Speech-Language Pathologist | 2622 Troy Atkinson Road, Mullins, SC 29574 | 2008-03-10 |
| 1932226156 | Patient Response Organization Inc | Ambulance | 142 South Main St, Mullins, SC 29574 | 2007-03-23 |
| 1164573200 | Marion School District Seven | Local Education Agency (LEA) | 3559 South Highway 501, Mullins, SC 29574 | 2007-01-16 |
| 1932270279 | Franklin Gasque Mason | Dentist | 410 South Main St, Mullins, SC 29574 | 2006-11-10 |
| 1033138904 | Iris M Floyd-norris | Family Medicine | 2835 East Highway 76, Ste 7, Mullins, SC 29574 | 2006-07-19 |
| 1790721207 | Home Therapy Inc | Durable Medical Equipment & Medical Supplies | 3391 Hwy. 76 E., Mullins, SC 29574 | 2006-06-22 |
| 1205876273 | John C Bilder | Dentist | 410 South Main Street, Mullins, SC 29574 | 2006-06-07 |
| Find all providers in zip 29574 | ||||
| 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 |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| 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.