FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC (NPI# 1407363625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407363625 |
Entity Type | Organization |
Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
Practice Address |
2605 Blue Ridge Rd Ste 320 Raleigh NC 27607-6475 |
Mailing Address |
1600 E Gude Dr Ste 200 Rockville MD 20850-1496 |
Practice Telephone | 9198509111 |
Practice Fax Number | 9198502499 |
Mailing Telephone | 3019337133 |
Mailing Fax Number | 3019337137 |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-11-27 |
Authorized Official Name | DAVID J FREEDMAN (VICE PRESIDENT) |
Authorized Official Telephone | 3015980130 |
Is Organization Subpart | Y |
Parent Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346861614 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1506 E Franklin St Ste 104, Chapel Hill, NC 27514-2825 | 2020-04-28 |
1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
1346878410 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 16419 Northcross Dr Ste A, Huntersville, NC 28078-5009 | 2020-04-01 |
1386289841 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 700 Tilghman Dr Ste 722, Dunn, NC 28334-5519 | 2019-11-08 |
1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
Street Address |
2605 BLUE RIDGE RD STE 320 |
City | RALEIGH |
State | NC |
Zip Code | 27607-6475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447553870 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2010-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
Find all providers in zip 27607 |
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 |
---|---|---|---|---|
1982992517 | Jordan David Meyers | Podiatrist | 1418 E. Millbrook Rd, Raleigh, NC 27609-4812 | 2011-07-17 |
1598854895 | James Leroy Edwards | Podiatrist | 515 St Marys Street, Raleigh, NC 27605-1774 | 2006-10-12 |
1336238336 | Bruce G Fawcett | Podiatrist | 1514 Glenwood Ave, Raleigh, NC 27608-2368 | 2006-10-11 |
1487769857 | Family Foot & Ankle Center, P.a. | Podiatrist | 1004 Dresser Ct Ste 102, Raleigh, NC 27609-7325 | 2006-08-19 |
1225095318 | Kathleen Fineco | Podiatrist | 5928 N Hills Dr, Raleigh, NC 27609-4236 | 2006-05-01 |
1386616415 | Patrick Dougherty | Podiatrist | 1004 Dresser Ct, Raleigh, NC 27609-7325 | 2006-02-02 |
1386627479 | James Michael Hopkins | Podiatrist | 8305 Falls of Neuse Rd, Ste 100, Raleigh, NC 27615 | 2005-11-22 |
1194708263 | Edgar Xavier Correa | Podiatrist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2005-11-22 |
1588667265 | Carroll D Kratzer | Podiatrist | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2005-05-24 |
1992337794 | Seniorwell Pod of North Carolina LLC | Podiatrist | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2020-02-10 |
Find all providers in RALEIGH |
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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.