ADVANCED FOOT & ANKLE CARE LLC (NPI# 1528270402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528270402 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT & ANKLE CARE LLC |
| Practice Address |
708 Westport Rd Suite 102 Elizabethtown KY 42701-2866 |
| Practice Telephone | 2707691303 |
| Mailing Telephone | 2707691303 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | MR. RUSSELL LYNN MCKINLEY (OWNER) |
| Authorized Official Telephone | 2707691303 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00280 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT HEALTH PLAN | 50002812 | 01 |
| KY | RAILROAD MEDICARE | DA7050 | 01 |
| KY | 7100320600 | 05 | |
| KY | 80900194 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093036857 | Advanced Foot & Ankle Care LLC | Podiatrist | 2008 General Booth Blvd, Suite B, Virginia Beach, VA 23454-5910 | 2010-06-16 |
| Street Address |
708 WESTPORT RD SUITE 102 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410231 | Russell Lynn Mckinley | Podiatrist | 708 Westport Rd, Suite 102, Elizabethtown, KY 42701-3819 | 2005-07-12 |
| 1467925859 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2019-01-08 |
| 1982147153 | Julianne Matteson | Physical Therapist | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2016-11-21 |
| 1174065676 | Jacob Hughes | Physical Therapist | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2016-11-15 |
| 1144693631 | Michael Anthony Kidwell | Physical Therapist | 708 Westport Rd, 200, Elizabethtown, KY 42701-3819 | 2015-11-05 |
| 1083986954 | Deric Parrish | Physical Therapist | 708 Westport Rd, Suite 202, Elizabethtown, KY 42701-3819 | 2012-02-07 |
| 1033414974 | Candice Blackburn Henderson | Counselor | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2011-01-25 |
| 1437399037 | Suresh Kodali | Marriage & Family Therapist | 708 Westport Rd, Suite 103, Elizabethtown, KY 42701-3819 | 2009-02-23 |
| 1891933487 | Melissa Danielle Hawkins | Physical Therapist | 708 Westport Rd, Suite 201, Elizabethtown, KY 42701-3819 | 2009-02-04 |
| 1619185683 | Kentucky Orthopedic Rehabilitation | Durable Medical Equipment & Medical Supplies | 708 Westport Rd, Elizabethtown, KY 42701-3819 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386788305 | Karason Podiatric Centers, Inc. | Podiatrist | 327 E High St, Suite A, Elizabethtown, PA 17022-1919 | 2007-02-16 |
| 1063410231 | Russell Lynn Mckinley | Podiatrist | 708 Westport Rd, Suite 102, Elizabethtown, KY 42701-3819 | 2005-07-12 |
| 1023491073 | Jasmine Neal | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2015-07-08 |
| 1083029235 | Christopher Carl Saccone | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2014-06-26 |
| 1780971846 | Sheryl L Hanawalt | Podiatrist | 1239 Woodland Dr, Suite 101, Elizabethtown, KY 42701-2770 | 2011-07-08 |
| 1285956706 | Paul Jason Klutts | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2010-02-25 |
| 1235228040 | Syed Ahmed | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1093085367 | Ann Wolford | Podiatrist | 1850 Westen St, Bowling Green, KY 42104 | 2012-01-04 |
| 1740575653 | Harpreet S Minhas | Podiatrist | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2011-06-20 |
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1760798045 | Cumberland Foot and Ankle Center | Podiatrist | 49 Gregory St, Monticello, KY 42633-2407 | 2010-08-25 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on ADVANCED FOOT & ANKLE CARE LLC.
| 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.