COMMONWEALTH FOOT AND ANKLE CENTER (NPI# 1689690711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689690711 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH FOOT AND ANKLE CENTER |
| Practice Address |
1915 Bishop Ln Louisville KY 40218-1901 |
| Practice Telephone | 5024593338 |
| Practice Fax Number | 5024597509 |
| Mailing Telephone | 5024593338 |
| Mailing Fax Number | 5024597509 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | DR. BENJAMIN M. SCHAFFER (PRESIDENT) |
| Authorized Official Telephone | 5024593338 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 00157 | KY | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
00157 | KY | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 649749 | KY | Suppliers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00157 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADVANTAGE | 2433742000 | 01 |
| IN | 201378810 | 05 | |
| KY | 80903883 | 05 | |
| KY | 90004110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093097933 | Commonwealth Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 401 E Chestnut St, Suite 240, Louisville, KY 40202-5700 | 2011-09-16 |
| Street Address |
1915 BISHOP LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238047 | Benjamin Michael Schaffer | Podiatrist | 1915 Bishop Ln, Louisville, KY 40218-1901 | 2005-07-14 |
| 1750732707 | Benjamin R Mccullar | Podiatrist | 1915 Bishop Ln, Louisville, KY 40218-1901 | 2016-06-30 |
| 1972913069 | Evan M Ross | Podiatrist | 1915 Bishop Ln, Louisville, KY 40218-1901 | 2014-04-29 |
| 1568807212 | Byunghee Kevin Kim | Podiatrist | 1915 Bishop Ln, Louisville, KY 40218-1901 | 2013-05-08 |
| 1518212026 | David Alton Kyle | Podiatrist | 1915 Bishop Ln, Louisville, KY 40218-1901 | 2012-07-20 |
| 1649332289 | Beverley E. Holland | Nurse Practitioner | 1915 Bishop Ln, Louisville, KY 40218-1901 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 |
| 1629286257 | Adam Alexander Didyk | Podiatrist | 13105 Eastpoint Park Blvd, Louisville, KY 40223 | 2007-05-18 |
| 1699803270 | Gerardo Ulfe | Podiatrist | 317b Guthrie Grn, Louisville, KY 40202 | 2007-03-02 |
| 1164512612 | Brian T Przystawski, Dpm, PCs | Podiatrist | 4119 Browns Lane, Bld#2, Louisville, KY 40220 | 2006-10-13 |
| 1821023250 | Judy Nonglak Outsa | Podiatrist | 6407 Preston Hwy, Suite #1, Louisville, KY 40219-1850 | 2006-07-12 |
| 1053353607 | Rhonda A Eichenberger | Podiatrist | 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223-2965 | 2006-06-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
Please comment or provide details below to improve the information on COMMONWEALTH FOOT AND ANKLE CENTER.
| 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.