UNIVERSITY FOOT AND ANKLE CENTER LLC (NPI# 1760560015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760560015 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY FOOT AND ANKLE CENTER LLC |
| Other Organization Name | LOUISVILLE FOOT AND ANKLE SPECIALISTS |
| Practice Address |
3 Audubon Plaza Dr Ste 320 Louisville KY 40217-1319 |
| Practice Telephone | 5028931844 |
| Mailing Telephone | 5028931844 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | DR. THOMAS WAYNE CHILDRESS (OWNER) |
| Authorized Official Telephone | 5028931844 |
| 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 | 261QP1100X |
Clinic/Center Specialization: Podiatric |
00209 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100439680 | 05 | |
| KY | 7100000180 | 05 |
| Other Name | Type Code |
|---|---|
| Louisville Foot and Ankle Specialists | Doing Business As Name - Organization |
| Street Address |
3 AUDUBON PLAZA DR STE 320 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063771715 | Carl A. Kihm | Podiatrist | 3 Audubon Plaza Dr Ste 320, Louisville, KY 40217-1319 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093199754 | Norton Healthcare | Clinic/Center | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2015-07-13 |
| 1780879841 | Dr. C.a. Nava, P.s.c. | Clinic/Center | 1130 Gilliland Rd, Louisville, KY 40245-4034 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467960492 | M&m Medical Clinics LLC | Clinic/Center | 240 Masonic Home Dr, Masonic Home, KY 40041-9000 | 2018-01-11 |
| 1821283011 | New Lexington Clinic, Psc | Clinic/Center | 120 N Eagle Creek Dr, Suite 440, Lexington, KY 40509-1827 | 2007-09-11 |
| 1013972439 | Pikeville Foot Care Center Pllc | Clinic/Center | 126 Trivette Drive, Suite 101, Pikeville, KY 41501 | 2006-04-19 |
| City | LOUISVILLE |
| Zip Code | 40217 |
Please comment or provide details below to improve the information on UNIVERSITY FOOT AND ANKLE CENTER 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.