COMMONWEALTH FOOT AND ANKLE CARE LLC (NPI# 1255622544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255622544 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH FOOT AND ANKLE CARE LLC |
| Practice Address |
1030 Brookhaven Rd Franklin KY 42134-2745 |
| Mailing Address |
1945 Scottsville Rd B-2 Pmb 109 Bowling Green KY 42104-3376 |
| Practice Telephone | 2705984910 |
| Practice Fax Number | 2705984930 |
| Mailing Telephone | 2705984910 |
| Mailing Fax Number | 2705984930 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | JENNIFER BENGE (OWNER) |
| Authorized Official Telephone | 2705984910 |
| 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 | 00337 | KY | Suppliers |
| Y | 213E00000X | Podiatrist | 00337 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100161590 | 05 | |
| KY | 7100204290 | 05 |
| Street Address |
1030 BROOKHAVEN RD |
| City | FRANKLIN |
| State | KY |
| Zip Code | 42134-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240979 | Thomas Bernard Shields | Nurse Practitioner | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2006-01-26 |
| 1700492220 | Commonwealth Health Corporation, Inc. | Urology | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2020-09-21 |
| 1912512724 | Cumberland Foot and Ankle Centers | Podiatrist | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2020-09-09 |
| 1528516671 | Dr Syed A Khader Pllc | Durable Medical Equipment & Medical Supplies | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2016-09-19 |
| 1346672235 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2013-08-02 |
| 1053653022 | Commonwealth Health Corporation, Inc. | Surgery | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2013-03-18 |
| 1871827527 | Shields Family Clinic | Nurse Practitioner | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2009-09-29 |
| 1235231564 | Larry W Maynard, Md | Clinic/Center | 1030 Brookhaven Rd, Franklin, KY 42134-2745 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
| 1457716706 | Fast Pace Kentucky Pllc | Clinic/Center | 1475 Nashville Rd, Franklin, KY 42134 | 2015-12-30 |
| 1306263694 | Dana Marie Williams | Counselor | 608 South Main Street, Franklin, KY 42134 | 2014-03-25 |
| 1467659466 | Alexandria Bridges | Physical Therapist | 414 Robey Street, Bowling Green, KY 42134 | 2007-07-02 |
| 1902985658 | Kelly Family Dentistry Pllc | Dentist | 201 Pleasant Valley Rd, Franklin, KY 42134 | 2006-11-03 |
| 1588624670 | Roy D Reynolds | Family Medicine | 121 Memorial Dr, Franklin, KY 42134 | 2006-03-24 |
| 1528579687 | William Cody Russell | Physical Therapist | 1020 Main Street, Franklin, KY 42134 | 2017-10-17 |
| 1265951461 | Laura Michelle Nagode | Physical Therapist | 1100 Brookhaven Rd, Suite 201, Franklin, KY 42134 | 2017-09-19 |
| 1902232341 | Haley Petty | Physical Therapist | 1112 S Main St, Franklin, KY 42134 | 2013-09-17 |
| 1306288436 | Kimberlee G Sliger | Nurse Practitioner | 119 Memorial Dr, Franklin, KY 42134 | 2013-07-17 |
| Find all providers in zip 42134 | ||||
| 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 |
|---|---|---|---|---|
| 1629686696 | Ankle and Foot Centers of Nashville, LLC | Podiatrist | 1909 Mallory Ln Ste 100, Franklin, TN 37067-8230 | 2020-07-16 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1174704340 | Harry Alan Knudsen | Podiatrist | 348 Cool Springs Blvd, Franklin, TN 37067-1631 | 2007-11-16 |
| 1629168968 | Smoky Mountain Foot Clinic Pa | Podiatrist | 188 Georgia Rd, Franklin, NC 28734-3246 | 2006-10-16 |
| 1265475719 | Thomas Robert Marciniak | Podiatrist | 7049 W Pineberry Rdg, Franklin, WI 53132-8565 | 2006-06-13 |
| 1063478212 | Anthony D. Jagger | Podiatrist | 1159 W Jefferson St Ste 204, Franklin, IN 46131-2795 | 2006-04-25 |
| 1124003538 | Sherry Hicks Stenehjem | Podiatrist | 9 Summer Street, Suite 202, Franklin, MA 02038 | 2005-12-08 |
| 1285624494 | Paul M Lepley Jr. | Podiatrist | 440 E Central St Ste 6, Franklin, MA 02038-1374 | 2005-10-27 |
| 1003818022 | Jacques Gerard Darmon | Podiatrist | 26900 Crestwood Dr, Franklin, MI 48025-1378 | 2005-08-10 |
| 1699336966 | Sport Medicine and Orthopaedic Center Inc | Podiatrist | 1301 Armory Dr, Franklin, VA 23851-2419 | 2019-06-26 |
| Find all providers in FRANKLIN | ||||
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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.