ALTA RIDGE FOOT SPECIALISTS PLLC (NPI# 1891935821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891935821 |
| Entity Type | Organization |
| Organization Name | ALTA RIDGE FOOT SPECIALISTS PLLC |
| Practice Address |
537 Altapass Hwy Spruce Pine NC 28777-3012 |
| Practice Telephone | 8287667667 |
| Mailing Telephone | 8287667667 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | DR. ROBERT LLOYD VAN BREDERODE (OWNER) |
| Authorized Official Telephone | 8287667667 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
479 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890809T | 05 |
| Street Address |
537 ALTAPASS HWY |
| City | SPRUCE PINE |
| State | NC |
| Zip Code | 28777-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590554 | Robert Lloyd Van Brederode | Podiatrist | 537 Altapass Hwy, Spruce Pine, NC 28777-3001 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405265 | Spruce Pine Chiropractic, Pllc | Clinic/Center | 31 Cross Street, Suite 266, Spruce Pine, NC 28777 | 2018-04-24 |
| 1326463316 | Susan Lynn Lamont | Counselor | 2206 Carters Ridge Rd, Spruce Pine, NC 28777 | 2014-02-27 |
| 1548521115 | Mitchell House One, LLC | Assisted Living Facility | 13681 Hwy 226 South, Spruce Pine, NC 28777 | 2012-05-31 |
| 1245590025 | Lisa Wade Thomas | Hearing Instrument Specialist | 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 | 2012-05-25 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1326272824 | Brie Michele Folkner | Family Medicine | 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 | 2009-05-12 |
| 1093901290 | Patricia Susan Noser | Nurse Practitioner | 12348 South 226 Highway, Spruce Pine, NC 28777 | 2007-09-20 |
| 1194943092 | Blue Ridge General Surgery, PC | Surgery | 8017 Nineteen E Highway, Spruce Pine, NC 28777 | 2007-04-23 |
| 1528186277 | Bruce Dennis Crawford | Dentist | 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 | 2007-03-27 |
| 1134284755 | Freedom Memorial In-home Monitoring | Durable Medical Equipment & Medical Supplies | 1422 Roan Road, Spruce Pine, NC 28777 | 2006-12-26 |
| Find all providers in zip 28777 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083258115 | Catawba Valley Medical Group Inc | Clinic/Center | 1985 Startown Rd Ste 101, Hickory, NC 28602-8307 | 2019-11-01 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1922296243 | Foot Care Associates, LLP | Clinic/Center | 1470 Rymco Drive, Winston-salem, NC 27103-2944 | 2007-10-11 |
| 1659898039 | Noah Foot and Ankle Center, Pllc | Clinic/Center | 5226 S College Rd Ste 4, Wilmington, NC 28412-2236 | 2017-08-25 |
| 1386919181 | Alta Ridge Foot Specialists, Pllc | Clinic/Center | 105 Chestnut St, Mars Hill, NC 28754-9602 | 2012-03-13 |
| 1871808782 | Family Foot Care Assoc. P.a. | Clinic/Center | 4286 Raeford Rd, Fayetteville, NC 28304-3247 | 2010-08-16 |
| 1598924599 | Mt Airy Foot and Ankle Center Pllc | Clinic/Center | 1908 Caudle Dr, Suite 103, Mount Airy, NC 27030-4312 | 2008-06-04 |
| 1194990994 | Uwharrie Podiatry, LLC | Clinic/Center | 143 N 3rd St, Albemarle, NC 28001-4901 | 2008-04-23 |
| 1962673640 | Uwharrie Podiatry, LLC | Clinic/Center | 143 N 3rd St, Albemarle, NC 28001-4901 | 2008-03-20 |
| 1336327659 | Ankle & Foot Center of Charlotte Pllc | Clinic/Center | 12610 N Community House Rd, Suite 202, Charlotte, NC 28277 | 2008-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SPRUCE PINE |
| Zip Code | 28777 |
Please comment or provide details below to improve the information on ALTA RIDGE FOOT SPECIALISTS 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.