INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC (NPI# 1437629847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437629847 |
Entity Type | Organization |
Organization Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
Practice Address |
1602 Doctors Cir Wilmington NC 28401-7406 |
Practice Telephone | 9103438889 |
Mailing Telephone | 9103438889 |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-29 |
Authorized Official Name | KEVIN C MCDONALD (DPM) |
Authorized Official Telephone | 7047864482 |
Authorized Official Credential | PRESIDENT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
1750813978 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 134 Memory Plz, Whiteville, NC 28472-2640 | 2017-03-28 |
1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
1942697701 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 40 Autumn Fern Trl # Us401, Lillington, NC 27546-5155 | 2015-04-20 |
1710381777 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 9216 Ardrey Kell Rd Ste 100, Charlotte, NC 28277-4954 | 2014-10-20 |
1134466113 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 710 Brookdale Dr, Statesville, NC 28677-3406 | 2013-01-10 |
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 |
Street Address |
1602 DOCTORS CIR |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497722672 | Kevin Gregory Bachman | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-03-07 |
1487952800 | Linda M Wolley | Nutritionist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2011-03-09 |
1831108869 | Jeffrey B. Pupp | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-08-07 |
1205885159 | Coastal Carolina Foot & Ankle Associates Pa | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-05-09 |
1497723324 | Jeffrey Bruce Pupp | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023346335 | Heather M Rafal | Podiatrist | 1601 Milltown Rd Ste 24, Wilmington, DE 19808-4084 | 2009-11-24 |
1497722672 | Kevin Gregory Bachman | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-03-07 |
1477527562 | Susie Nely Sant Anna | Podiatrist | 4113 Oleander Dr Ste G, Wilmington, NC 28403-6840 | 2006-02-15 |
1689676009 | Gregory Girard Young | Podiatrist | 1919 S 16th St, Wilmington, NC 28401-6610 | 2005-08-15 |
1528353638 | Derek Tyler Pantiel | Podiatrist | 4113 Oleander Dr, Ste G, Wilmington, NC 28403-6840 | 2011-06-16 |
1821302472 | Christiana Care Health Services Inc | Podiatrist | 501 W 14th St, Wilmington Hospital Health Center, Wilmington, DE 19801-1013 | 2010-08-05 |
1841488947 | The Cape Fear Foot Center | Podiatrist | 1919 S 16th St, Wilmington, NC 28401-6610 | 2007-10-15 |
1790823334 | Rose S Southerland | Podiatrist | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2007-02-04 |
1497723324 | Jeffrey Bruce Pupp | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073126223 | King Podiatry and Associates Pllc | Podiatrist | 5116 N Croatan Hwy, Kitty Hawk, NC 27949-3988 | 2020-08-27 |
1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
1255773222 | Jacob A Panici | Podiatrist | 103 Parkway Office Ct Ste 100, Cary, NC 27518-7429 | 2013-07-19 |
1881038453 | Cardinal Podiatry, P.C. | Podiatrist | 1852 Banking St # 9043, Greensboro, NC 27408-7222 | 2013-04-25 |
1891007639 | Tori N Simmons Lewis | Podiatrist | 10370 Park Rd Ste 100, Charlotte, NC 28210-8509 | 2010-07-09 |
1437316361 | Paul J Keane Dpm | Podiatrist | 506 S Sutherland Ave, Monroe, NC 28112-5061 | 2008-05-19 |
1568542181 | Robert Charles Wingate | Podiatrist | 1050 South Peace Haven Road, Winston Salem, NC 27103-9788 | 2006-10-17 |
1275630295 | Chukwuma Ukata | Podiatrist | 516 Village Ct, Garner, NC 27529-3600 | 2006-09-20 |
1992810717 | Kevin C Mcdonald | Podiatrist | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 | 2006-08-20 |
1568484749 | Jennifer H Purvis | Podiatrist | 3301 Sunset Ave, Rocky Mount, NC 27804-3521 | 2006-07-24 |
Find all providers with the same taxonomy |
City | WILMINGTON |
Zip Code | 28401 |
Please comment or provide details below to improve the information on INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC.
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.