COMPREHENSIVE FOOT AND ANKLE CENTER,PA (NPI# 1356524037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356524037 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE FOOT AND ANKLE CENTER,PA |
| Practice Address |
1928 Randolph Rd Suite 214 Charlotte NC 28207-1105 |
| Mailing Address |
1928 Randolph Road Suite 214 Charlotte NC 28207-1105 |
| Practice Telephone | 7045626384 |
| Mailing Telephone | 7043325115 |
| Mailing Fax Number | 7043325116 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | ZACHARY J NELLAS (OWNER) |
| Authorized Official Telephone | 7045626384 |
| 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 |
413 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790801Y | 05 | |
| NC | MEDICARE RAILROAD | D02704 | 01 |
| SC | NPD413 | 05 |
| Street Address |
1928 RANDOLPH RD SUITE 214 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290525 | Emmett C Mathews Jr. | Internal Medicine | 1928 Randolph Rd, Ste 215, Charlotte, NC 28207-1105 | 2005-07-26 |
| 1700296951 | First Family Medical LLP | Internal Medicine | 1928 Randolph Rd, Ste 206, Charlotte, NC 28207-1105 | 2014-04-28 |
| 1982978706 | Kingsley Cadmus | Pharmacist | 1928 Randolph Rd, Suite 102, Charlotte, NC 28207-1105 | 2012-02-24 |
| 1497995450 | Emmett C. Mathews, Jr, Md Pa | Clinic/Center | 1928 Randolph Rd, Suite 215, Charlotte, NC 28207-1105 | 2009-03-03 |
| 1215102546 | Premier Sleep Services, LLC | Clinic/Center | 1928 Randolph Rd, Suite 111, Charlotte, NC 28207-1105 | 2008-04-28 |
| 1215107834 | Charlotte Womens Pavilion | Obstetrics & Gynecology | 1928 Randolph Rd, Suite 206, Charlotte, NC 28207-1105 | 2008-03-11 |
| 1124061924 | Charles Chike Anikwue | Obstetrics & Gynecology | 1928 Randolph Rd, Ste. 206, Charlotte, NC 28207-1105 | 2006-06-13 |
| 1871551911 | Metrolina Surgical Specialists, Pllc | Specialist | 1928 Randolph Rd, Suite 312, Charlotte, NC 28207-1105 | 2006-05-01 |
| 1013984996 | William Sumner Logan | Specialist | 1928 Randolph Rd, Suite 316, Charlotte, NC 28207-1105 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376370 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 | 2020-05-01 |
| 1710381777 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 9216 Ardrey Kell Rd Ste 100, Charlotte, NC 28277-4954 | 2014-10-20 |
| 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 |
| 1891046454 | Matthew Borns | Podiatrist | 6831 Fairview Rd, Charlotte, NC 28210-3386 | 2012-09-23 |
| 1821251737 | Michael J. Ryan, Dpm, Pa | Podiatrist | 8912 Blakeney Profession Center, A2, Charlotte, NC 28277 | 2008-07-10 |
| 1770631384 | Michael J Ryan Dpm Pa | Podiatrist | 8310 Medical Plaza Dr Ste E, Charlotte, NC 28262-6703 | 2007-01-08 |
| 1275693509 | Mark Miceli | Podiatrist | 8301 University Exec Park Dr Ste 112, Charlotte, NC 28262-3593 | 2006-12-08 |
| 1174606156 | John Josph Longobardo | Podiatrist | 9124 S Tryon St, Suite J, Charlotte, NC 28273-3114 | 2006-10-23 |
| 1871524595 | Charlotte Foot Clinic | Podiatrist | 4016 Wilkinson Blvd, Ste A, Charlotte, NC 28208 | 2006-07-05 |
| Find all providers in CHARLOTTE | ||||
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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.