EASTERN SHORE FOOT CENTER, P.C. (NPI# 1417004656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417004656 |
Entity Type | Organization |
Organization Name | EASTERN SHORE FOOT CENTER, P.C. |
Practice Address |
1913 Us Highway 98 Daphne AL 36526-4371 |
Practice Telephone | 2516265065 |
Practice Fax Number | 2516267580 |
Mailing Telephone | 2516265065 |
Mailing Fax Number | 2516267580 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2010-11-18 |
Authorized Official Name | DR. RANDELL BRAUN (PRESIDENT) |
Authorized Official Telephone | 2516265065 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
82 | AL | Podiatric Medicine & Surgery Service Providers |
Street Address |
1913 US HIGHWAY 98 |
City | DAPHNE |
State | AL |
Zip Code | 36526-4371 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891852091 | Randell I Braun | Podiatrist | 1913 Us Highway 98, Daphne, AL 36526-4371 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
Find all providers in zip 36526 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891852091 | Randell I Braun | Podiatrist | 1913 Us Highway 98, Daphne, AL 36526-4371 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962014159 | Upperline Healthcare, PC | Podiatrist | 2057 Valleydale Rd Ste 109, Hoover, AL 35244-2707 | 2020-08-19 |
1558825273 | Upperline Healthcare, PC | Podiatrist | 4109 Cogswell Ave, Pell City, AL 35125-2607 | 2019-01-27 |
1588128201 | Upperline Healthcare, PC | Podiatrist | 1976 Gadsden Hwy Ste 101, Birmingham, AL 35235-3267 | 2019-01-27 |
1912461633 | Upperline Healthcare, PC | Podiatrist | 5511 Highway 280 Ste 118, Birmingham, AL 35242-1505 | 2019-01-27 |
1932663655 | Upperline Healthcare, PC | Podiatrist | 6316 Piccadilly Square Dr Ste A, Mobile, AL 36609-5143 | 2019-01-27 |
1669755542 | Alex City Foot Specialties, LLC | Podiatrist | 1649 Highway 22 W Ste 1, Alexander City, AL 35010-4415 | 2011-09-27 |
1497984397 | Southern Podiatry Foot and Ankle, Pllc | Podiatrist | 1060 Grandeview Blvd, Suite 623, Huntsville, AL 35824-1497 | 2009-07-13 |
1710157953 | Footcare Solutions, PC | Podiatrist | 101 E Appletree St, Scottsboro, AL 35768-1835 | 2008-03-04 |
1932307378 | Desiree Jacqueline Mcgann | Podiatrist | 319 Parks Ave, Scottsboro, AL 35768-2411 | 2007-07-06 |
1770791758 | Bunion Busters | Podiatrist | 1401 Spring Hill Ave, Mobile, AL 36604-3204 | 2007-05-21 |
Find all providers with the same taxonomy |
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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.