CAROLINA FOOT & ANKLE SPECIALISTS, PA (NPI# 1619935467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619935467 |
| Entity Type | Organization |
| Organization Name | CAROLINA FOOT & ANKLE SPECIALISTS, PA |
| Practice Address |
603 Cox Rd Gastonia NC 28054-3432 |
| Practice Telephone | 7048677388 |
| Practice Fax Number | 7048658999 |
| Mailing Telephone | 7048677388 |
| Mailing Fax Number | 7048658999 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | DR. MARK MICELI (OWNER) |
| Authorized Official Telephone | 7048677388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
296 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902051 | 05 | |
| NC | PARTNERS MEDICARE | 6030 | 01 |
| NC | BCBS | 02051 | 01 |
| Street Address |
603 COX RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388746 | Steven Allan Smith | Emergency Medicine | 603 Cox Rd, Gastonia, NC 28054-3432 | 2005-12-22 |
| 1851783500 | Ruth Colon | Nurse Practitioner | 603 Cox Rd, Gastonia, NC 28054-3432 | 2015-03-03 |
| 1518251917 | Gregory J Auber | Nurse Practitioner | 603 Cox Rd, Gastonia, NC 28054-3432 | 2011-06-02 |
| 1356357073 | Allison Bridges | Physician Assistant | 603 Cox Rd, Gastonia, NC 28054-3432 | 2006-08-01 |
| 1730118480 | Cox Road Urgent Care | Internal Medicine | 603 Cox Rd, Gastonia, NC 28054-3432 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780634386 | Melanie Jessup Eubanks | Podiatrist | 2391 Court Dr Ste 100, Gastonia, NC 28054-2197 | 2006-05-12 |
| 1942841218 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2019-10-08 |
| 1710231469 | Instride Foot and Ankle Specialist, Pllc | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2012-11-02 |
| 1255380143 | Carolina Orthopaedic & Sports Medicine Center, P.a. | Podiatrist | 2345 Court Drive, Gastonia, NC 28054-2151 | 2006-05-08 |
| 1235102971 | Robert Christopher Olson | Podiatrist | 2345 Court Drive, Gastonia, NC 28054 | 2006-02-13 |
| 1629064969 | Robert A Liberatore | Podiatrist | 2391 Court Dr, Suite 100, Gastonia, NC 28054-2196 | 2005-09-22 |
| 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.