NORTHERN KENTUCKY FOOT SPECIALISTS, PSC (NPI# 1609958123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609958123 |
| Entity Type | Organization |
| Organization Name | NORTHERN KENTUCKY FOOT SPECIALISTS, PSC |
| Practice Address |
525 Alexandria Pike Suite 230 Southgate KY 41071-3290 |
| Mailing Address |
Po Box 389 Burlington KY 41005-0389 |
| Practice Telephone | 8594414334 |
| Practice Fax Number | 8594413698 |
| Mailing Telephone | 8597467461 |
| Mailing Fax Number | 8597467464 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | WILLIAM M NIELSON (PRESIDENT) |
| Authorized Official Telephone | 8597467461 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RR MEDICARE | C11409 | 01 |
| KY | 80903792 | 05 | |
| KY | 90260191 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265529416 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 4327 Winston Ave, Covington, KY 41015-1739 | 2006-10-09 |
| 1760404271 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-07-24 |
| 1437237500 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-11-02 |
| 1295811008 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-10-27 |
| 1225114044 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-27 |
| 1073695599 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-10-20 |
| 1518049030 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 4327 Winston Ave, Covington, KY 41015-1739 | 2006-10-20 |
| 1346337599 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| 1366539512 | Northern Kentucky Foot Specialists, Psc | Prosthetic/Orthotic Supplier | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-09 |
| Street Address |
525 ALEXANDRIA PIKE SUITE 230 |
| City | SOUTHGATE |
| State | KY |
| Zip Code | 41071-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1659779064 | Specialty Medical Drugstore | Pharmacy | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2014-12-17 |
| 1053715516 | Joan O Bovard | Nurse Practitioner | 525 Alexandria Pike, Suite 300, Southgate, KY 41071 | 2014-10-13 |
| 1548677636 | Summit Medical Group, Inc | Podiatrist | 525 Alexandria Pike, Ste 230, Southgate, KY 41071-3290 | 2014-07-21 |
| 1760704431 | Jared Cole Wilburn | Physical Therapist | 525 Alexandria Pike, Suite 200, Southgate, KY 41071-3290 | 2010-02-23 |
| 1992938567 | Kristopher Daniel Kaufman | Physical Therapist | 525 Alexandria Pike, Southgate, KY 41071 | 2009-08-31 |
| 1942451828 | Orthocincy | Durable Medical Equipment & Medical Supplies | 525 Alexandria Pike, Suite 200, Southgate, KY 41071 | 2008-10-09 |
| 1093978686 | Jamie Lynn Schulz | Internal Medicine | 525 Alexandria Pike, Ste 300, Southgate, KY 41071-3290 | 2008-07-03 |
| 1609075720 | Darren P Di Iulio | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2007-07-18 |
| 1982809828 | Brian John Crowley | Nurse Practitioner | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1811443435 | Marcus E. Mckinney | Pharmacist | 100 Aqua Way, Newport, KY 41071 | 2016-09-01 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1952445017 | Therapeutic Collabortive | Social Worker | 525 Licking Pike, Wilder, KY 41071 | 2007-02-20 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1033737085 | Ashley Ryan | Nurse Practitioner | 215 E. 11th St., Newport, KY 41071 | 2020-07-07 |
| 1548733066 | Summt Medical Group, Inc | Clinic/Center | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1164995544 | Summit Medical Group, Inc | Urology | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| Find all providers in zip 41071 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487193686 | Michael A. Hartman Dpm PC | Podiatrist | 12885 Northline Rd, Southgate, MI 48195-1181 | 2017-02-21 |
| 1487781712 | Daniel T Zahari | Podiatrist | 14535 Northline Rd, Southgate, MI 48195 | 2007-02-27 |
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1609075720 | Darren P Di Iulio | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2007-07-18 |
| 1225114044 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3290 | 2006-10-27 |
| 1023017522 | Matthew Enzweiler | Podiatrist | 525 Alexandria Pike, Suite 230, Southgate, KY 41071 | 2005-07-18 |
| 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 | ||||
Please comment or provide details below to improve the information on NORTHERN KENTUCKY FOOT SPECIALISTS, PSC.
| 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.