Autauga Family Foot Care Clinic
Organization Active NPI Foot & Ankle Surgery Podiatrist · Prattville, AL
NPI 1013187152 · NPPES record last updated May 14, 2012
Key facts
- NPI
- 1013187152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 182 (AL)
- Legal business name
- AUTAUGA FAMILY FOOT CARE CLINIC
- Practice address
- 660 McQueen Smith Rd N
Ste F
Prattville, AL 36066-7559 - Phone
- (334) 358-8666
- Fax
- (334) 358-8667
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Troy David Zimbelman, D.P.M.
- Title
- Owner
- Phone
- (334) 358-8666
Practitioners 2
-
Travis Jason Zimbelman, D.P.M.
-
Troy David Zimbelman, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080429000788 | AL | Part B Supplier - Clinic/Group Practice | 9133208341 |
Receives reassigned benefits from 2 practitioners Practice locations: Prattville, AL |
National Provider Directory
Locations
660 McQueen Smith Rd N
Ste F
Prattville, AL 36066
Phone (334) 358-8666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 182 | AL | Yes |
Addresses
Primary practice location
660 McQueen Smith Rd N
Ste F
Prattville, AL 36066-7559
Mailing address
660 McQueen Smith Rd N
Ste F
Prattville, AL 36066-7554
Phone (334) 358-8666
Other providers in Prattville, AL
- Autauga County Health Dept Pri Care
- Autauga County Health Dept STD
- Autauga County Health Dept VFC Immun
- Autauga County Schools
- Autauga Dental Care, LLC
- Autauga Spine Center PC
- Autauga Station Dental
- Autauga Station Dental, P.C.
- Autauga Western Elmore Arc
- Autauga Western Elmore Association for Retarded Citizens
All providers in Prattville, AL · Foot & Ankle Surgery Podiatrist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.