ACTIVE FOOT AND ANKLE OF CAROLINA PLLC (NPI# 1730574757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730574757 |
| Entity Type | Organization |
| Organization Name | ACTIVE FOOT AND ANKLE OF CAROLINA PLLC |
| Practice Address |
1076 Us Highway 17 S Elizabeth City NC 27909-7627 |
| Mailing Address |
632 Cedar Rd Suite B Chesapeake VA 23322-8376 |
| Practice Telephone | 2523333111 |
| Practice Fax Number | 2523331105 |
| Mailing Telephone | 7575470123 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | DR. MUNJED S SALEM (OWNER) |
| Authorized Official Telephone | 7575470123 |
| Authorized Official Credential | D.P.M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
NC | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306290648 | Active Foot and Ankle of Carolina Pllc | Prosthetic/Orthotic Supplier | 1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 | 2016-04-22 |
| Street Address |
1076 US HIGHWAY 17 S |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306290648 | Active Foot and Ankle of Carolina Pllc | Prosthetic/Orthotic Supplier | 1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730660200 | Family Foot and Ankle Specialists of The Carolinas Pllc | Podiatrist | 1548 Union Rd Ste D, Gastonia, NC 28054-5530 | 2018-08-23 |
| 1750813978 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 134 Memory Plz, Whiteville, NC 28472-2640 | 2017-03-28 |
| 1134466113 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 710 Brookdale Dr, Statesville, NC 28677-3406 | 2013-01-10 |
| 1760702245 | Reagan Buie Parrish | Podiatrist | 302 N 35th St, Morehead City, NC 28557-3106 | 2010-06-07 |
| 1982858874 | Peacock Foot Clinic, PC | Podiatrist | 409 Williams St, Elizabethtown, NC 28337 | 2008-11-05 |
| 1720247539 | Slf Podiatry, Pllc | Podiatrist | 1613 St. Andrews Dr., Mebane, NC 27302-7116 | 2008-06-06 |
| 1275709677 | Jeffrey B Pupp | Podiatrist | 114 N Norwood St, Wallace, NC 28466-2730 | 2008-05-06 |
| 1205975133 | Robert Alan Klein | Podiatrist | 519 S Van Buren Rd Ste D, Eden, NC 27288-5015 | 2007-02-06 |
| 1952488173 | Matthew M Schlosser | Podiatrist | 86 Victoria Rd Bldg A, Asheville, NC 28801-4449 | 2006-11-01 |
| 1952400806 | Omalley Foot and Ankle Pa | Podiatrist | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on ACTIVE FOOT AND ANKLE OF CAROLINA PLLC.
| 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.