WIREGRASS PODIATRY LLC


Address: 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400
Phone: 3344948200

WIREGRASS PODIATRY LLC (NPI# 1952873283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952873283
Entity Type Organization
Organization Name WIREGRASS PODIATRY LLC
Practice Address 1008 Boll Weevil Cir Ste B
Enterprise
AL 36330-3400
Practice Telephone 3344948200
Practice Fax Number 3344601984
Mailing Telephone 3344948200
Mailing Fax Number 3344601984
Enumeration Date 2018-12-27
Last Update Date 2020-09-28
Authorized Official Name JENNIFER ROSE DECKER (ADMINISTRATOR)
Authorized Official Telephone 3344948200
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 1008 BOLL WEEVIL CIR STE B
City ENTERPRISE
State AL
Zip Code 36330-3400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396032280 Lincoln V Lowe Podiatrist 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 2011-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566860 Julia Brooke Lowe Pharmacist 847 Boll Weivell Circle #112, Enterprise, AL 36330 2020-07-30
1134759640 Benjamin Chase Marler Student in an Organized Health Care Education/Training Program 205 Somerset Pl, Enterprise, AL 36330 2020-01-23
1033694492 Angel Melton Counselor 105 Searcy St, Enterprise, AL 36330 2018-10-01
1285180729 Enterprise Urgent Care Clinic/Center 6582 Boll Weevil Circle, Enterprise, AL 36330 2016-08-25
1902204258 Nikki Chen Nurse Practitioner 805 East Lee Street, Ste C, Enterprise, AL 36330 2014-12-17
1568795417 Crystal Juanita Christian Counselor 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 2009-09-10
1316173206 Robert Noback Preventive Medicine 301 Dustoff Ave, Ft. Rucker, AL 36330 2009-06-05
1184892978 Phillip Allen Fuller Pulmonary Function Technologist 130e.pondella Dr., Enterprise, AL 36330 2008-02-14
1720266778 Richard Bauer Emergency Medical Technician, Intermediate Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 2008-02-01
1871646547 Thomas Orson Patterson Dentist 306 South Edwards Street, Enterprise, AL 36330 2007-01-18
Find all providers in zip 36330

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396032280 Lincoln V Lowe Podiatrist 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 2011-06-30
1679666242 Chet J. Vahovius, Dpm, PC Podiatrist 805 E. Lee St, Suite A, Enterprise, AL 36330 2006-10-02
1104092113 Jennifer Rose Decker Podiatrist 107 E Watts St, Enterprise, AL 36330-2511 2008-04-30
1902821895 Chet J Vahovius Podiatrist 805 E Lee St, Suite A, Enterprise, AL 36330-2093 2006-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558876847 Pampered Podiatry Nurturing Nails & Foot Care Podiatrist 1219 Jordan Ln Nw, Huntsville, AL 35816-3000 2017-12-07
1487063731 Leeds Podiatry LLC Podiatrist 1628 9th St, Ste 112, Leeds, AL 35094-4140 2014-08-11
1720355670 Family Footcare LLC Podiatrist 4358 Midmost Dr, Suite B, Mobile, AL 36609-5510 2011-11-21
1528346145 Kristen Nicole Murray Podiatrist 2116 Chapel Hill Road, Birmingham, AL 35216 2011-07-31
1972806867 Hayneville Podiatry Clinic Podiatrist 221 Hayneville Plaza, Hayneville, AL 36040-0190 2010-12-15
1447483961 Narrows Podiatry LLC Podiatrist 153 Narrows Parkway, Suite 102, Birmingham, AL 35242 2009-09-01
1780812628 Birmingham Podiatry, P.C. Podiatrist 227 1st St N, Alabaster, AL 35007-8767 2009-06-30
1821238718 Complete Foot Care LLC Podiatrist 411 Reston Dr, Tuscaloosa, AL 35406-2043 2009-03-05
1043456254 Trussville Foot Care Center PC Podiatrist 1930 Edwards Lake Rd, Suite 138, Birmingham, AL 35235-3718 2008-12-18
1598900615 Mulberry Foot Care, LLC Podiatrist 1620 Mulberry St, Montgomery, AL 36106-1522 2008-12-03
Find all providers with the same taxonomy

Competitor

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City ENTERPRISE
Zip Code 36330

Improve Information

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Dataset Information

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.

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