ADVANCED FOOT AND ANKLE CLINIC PLLC (NPI# 1194959676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194959676 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT AND ANKLE CLINIC PLLC |
| Practice Address |
1029 Medical Center Cir Suite 308 Mayfield KY 42066-1189 |
| Mailing Address |
1029 Medical Center Cir Suite 200 Mayfield KY 42066-1189 |
| Practice Telephone | 2702514060 |
| Practice Fax Number | 2702514064 |
| Mailing Telephone | 2702514545 |
| Mailing Fax Number | 2702514546 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | DR. WILLIAM R. ADAMS II (PHYSICIAN OWNER) |
| Authorized Official Telephone | 2702514060 |
| 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 |
00328 | KY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1029 MEDICAL CENTER CIR SUITE 308 |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-1189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902868532 | Ruben Cuadrado | Internal Medicine | 1029 Medical Center Cir, Ste 306, Mayfield, KY 42066-1189 | 2006-04-06 |
| 1538615570 | Heather D Lyell | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2016-08-30 |
| 1710332523 | Bethanie M Apperson | Nurse Practitioner | 1029 Medical Center Cir, Suite 200 & Suite 401b, Mayfield, KY 42066-1189 | 2016-04-29 |
| 1144645441 | Sarah Wilson | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2014-02-23 |
| 1609217868 | Stone Family Practice Pllc | Nurse Practitioner | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2013-07-16 |
| 1093093254 | Jessica M Little | Podiatrist | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2011-07-21 |
| 1508178336 | Richard Darren Stone | Family Medicine | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2010-07-09 |
| 1881927770 | Puneet Bhatia | Orthopaedic Surgery | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1189 | 2009-09-10 |
| 1891939690 | Pinelake Physician Practice LLC | Internal Medicine | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2009-04-23 |
| 1477795086 | Jackson Purchase Pediatrics, Pllc | Pediatrics | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1189 | 2009-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093093254 | Jessica M Little | Podiatrist | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1093085367 | Ann Wolford | Podiatrist | 1850 Westen St, Bowling Green, KY 42104 | 2012-01-04 |
| 1740575653 | Harpreet S Minhas | Podiatrist | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2011-06-20 |
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1760798045 | Cumberland Foot and Ankle Center | Podiatrist | 49 Gregory St, Monticello, KY 42633-2407 | 2010-08-25 |
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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.