JOHN RICHARD IREDALE (NPI# 1477549160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477549160 |
| Entity Type | Individual |
| Full Name | JOHN RICHARD IREDALE |
| Credential | D.P.M. |
| Practice Address |
4119 Capitol St Durham NC 27704-2153 |
| Practice Telephone | 9194770333 |
| Practice Fax Number | 9194779389 |
| Mailing Telephone | 9194779333 |
| Mailing Fax Number | 9194779389 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2011-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
51 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC PROVIDER NUMBE | 08092 | 01 |
| NC | 8908092 | 05 |
| Street Address |
4119 CAPITOL ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306256599 | Alan E Sotelo | Podiatrist | 4119 Capitol St, Durham, NC 27704-2153 | 2014-04-28 |
| 1831314780 | Melissa Scala Hill | Podiatrist | 4119 Capitol St, Durham, NC 27704-2153 | 2007-04-16 |
| 1669421608 | Central Carolina Podiatry Pa | Podiatrist | 4119 Capitol St, Durham, NC 27704-2153 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104170802 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 4119 Capitol Street, Durham, NC 27704-2153 | 2012-11-01 |
| 1427432103 | Foot and Ankle Associates of Nc, Pllc | Podiatrist | 6208 Fayetteville Rd, Suite 101, Durham, NC 27713-6286 | 2015-07-13 |
| 1497009930 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 3811 N Roxboro St, Suite A, Durham, NC 27704-5800 | 2012-11-06 |
| 1861746588 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 5107 Southpark Dr, Suite 202, Durham, NC 27713-8400 | 2012-11-02 |
| 1699969675 | Marc Merian-genast | Podiatrist | Trent Dr, 5309 Duke Clinic Building Box 3000, Durham, NC 27710-0001 | 2007-08-31 |
| 1609838010 | Michael Steven Kerzner | Podiatrist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696834 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 6341 Cook Ave Ste A, Clemmons, NC 27012-9380 | 2020-07-15 |
| 1497376370 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 | 2020-05-01 |
| 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 |
| 1881244168 | Unc Physicians Network Group Practices, LLC | Podiatrist | 1505 Sw Cary Pkwy Ste 200, Cary, NC 27511-6219 | 2019-09-18 |
| 1669022950 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1861042152 | Unc Physicians Network Group Practices, LLC | Podiatrist | 6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 | 2019-09-18 |
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| 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.