THE FOOT INSTITUTE, LLC (NPI# 1194909556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194909556 |
| Entity Type | Organization |
| Organization Name | THE FOOT INSTITUTE, LLC |
| Other Organization Name | PHYSICIANS FOOTCARE, LLC |
| Practice Address |
1730 Saint Julian Pl Columbia SC 29204 |
| Mailing Address |
1730 St Julian Place Columbia SC 29204-2044 |
| Practice Telephone | 8032566776 |
| Practice Fax Number | 8032566778 |
| Mailing Telephone | 8032566776 |
| Mailing Fax Number | 8032566778 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DR. KEVIN L. RAY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8032566776 |
| 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 | Suppliers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9909 | 05 | |
| SC | MEDICARE RR | DN1264 | 01 |
| Other Name | Type Code |
|---|---|
| PHYSICIANS FOOTCARE, LLC | Doing Business As Name - Organization |
| The Foot Institute | Former Legal Business Name - Organization |
| Street Address |
1730 SAINT JULIAN PL |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176249 | Harry Cotler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2005-09-29 |
| 1356791735 | Matthew Engelthaler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2016-06-16 |
| 1669727251 | Bridget Moore | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2012-07-19 |
| 1568602589 | Heather D Driessen | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2009-03-03 |
| 1003013632 | Maureen Quinlan | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1912388661 | Evan K Yoo | Podiatrist | 5500 Knoll North Dr Ste 440, Columbia, MD 21045-2364 | 2015-06-17 |
| 1831539303 | Benjamin David Elgamil | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2013-06-28 |
| 1154627008 | Michelle P Glover | Podiatrist | 3 Richland Medical Park Suite 110, Columbia, SC 29203 | 2011-02-09 |
| 1457440265 | Hyman David Gottlieb | Podiatrist | 11733 Lone Tree Ct, Columbia, MD 21044-4310 | 2006-10-11 |
| 1730176249 | Harry Cotler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2005-09-29 |
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1003420225 | Foot and Ankle Pain Center LLC | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2020-09-04 |
| 1356791735 | Matthew Engelthaler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2016-06-16 |
| 1013393297 | Carly Chapman | Podiatrist | 1516 Calhoun St, Columbia, SC 29201 | 2015-08-10 |
| Find all providers in COLUMBIA | ||||
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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.