MY FOOT DOCTOR PLLC (NPI# 1508261991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508261991 |
| Entity Type | Organization |
| Organization Name | MY FOOT DOCTOR PLLC |
| Practice Address |
705 Cook Dr Suite 200 Athens TN 37303-3494 |
| Mailing Address |
106 Stuart Rd Ne Cleveland TN 37312-4803 |
| Practice Telephone | 4237449399 |
| Practice Fax Number | 4237443067 |
| Mailing Telephone | 4235599700 |
| Mailing Fax Number | 4234727785 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-29 |
| Authorized Official Name | BARRY SCHULMAN (OWNER) |
| Authorized Official Telephone | 4235599700 |
| 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 |
DPM0000000597 | TN | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649315789 | My Foot Doctor Pllc | Podiatrist | 106 Stuart Rd Ne, Cleveland, TN 37312-4803 | 2007-02-20 |
| Street Address |
705 COOK DR SUITE 200 |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083032924 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 514 E Corsicana St, Suite 3, Athens, TX 75751-2506 | 2014-03-28 |
| 1366611006 | Jonathan M Kletz Dpm P A | Podiatrist | 514 E Corisicana St Ste B, Athens, TX 75751-2506 | 2008-02-27 |
| 1427226711 | Athens Foot and Ankle Health and Surgery, PC | Podiatrist | 1123 S. Palestine St., Suite 200, Athens, TX 75751-3645 | 2008-02-20 |
| 1790813541 | Athens Foot and Ankle Health and Surgery, PC | Podiatrist | 1123 S Palestine Street, Suite 200, Athens, TX 75751-3646 | 2007-03-02 |
| 1982602561 | Frank John Dipalma Sr. | Podiatrist | 2003 Prince Ave, Athens, GA 30606-6015 | 2005-07-08 |
| 1174798326 | Allied Ankle & Footcare Centers, P.C. | Podiatrist | 650 Oglethorpe Ave, Suite 5, Athens, GA 30606-2216 | 2008-04-29 |
| 1902077019 | Dr.m.niknafs Podiatrist PC | Podiatrist | 1010 Prince Ave, Suite 180, Athens, GA 30606-5805 | 2008-03-17 |
| 1710171905 | Frank J Dipalma Dpm Ltd | Podiatrist | 2003 Prince Ave, Athens, GA 30606-6015 | 2007-08-30 |
| 1487852604 | Panhat | Podiatrist | 417 N Main St, Athens, PA 18810-1817 | 2007-07-10 |
| 1518160936 | Nation Wide Foot & Ankle Surgeons LLC | Podiatrist | 1010 Prince Ave, Suite 180, Athens, GA 30606-5805 | 2007-06-06 |
| Find all providers in ATHENS | ||||
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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.