Advanced Foot & Ankle Specialists SC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

01600357 Issued in IL

Legal business name

ADVANCED FOOT & ANKLE SPECIALISTS SC

Practice address

1750 N Randall Rd
Suite 160
Elgin, IL 60123-7900

Phone

(630) 698-3637

NPI assigned

Apr 16, 2010

Last updated

Dec 7, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary F. Ochwat, DPM

Title

President

Phone

(630) 698-3637

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24710/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig W. Halihan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
  • NPI 1770517013
  Medicare reassignment Care Compare group NPD
• Haris Saleem Khan, DPM

  • Podiatrist
  • Elgin, IL
  • NPI 1518595933
  Medicare reassignment Care Compare group NPD
• Matthew Albert Krouse, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
  • NPI 1891133096
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1023334935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 160",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "630-698-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 160",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "630-698-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT & ANKLE SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "OCHWAT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-698-3637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005296",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "01600357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Practitioners in Health,Inc.
• Advance Wound Care Medical Supplies LLC
• Advanced Cardiology Consultants LTD
• Advanced Chiropractic Clinic, Inc.
• Advanced Clinic, LTD.
• Advanced Mobile Wound Care LLC
• Advanced Neurology & Sleep Clinic LLC
• Advanced Psychiatry of Elgin
• Advanced Sports Medicine SC
• Advanced Surgery & Wellness, PLLC

• Foot & Ankle Surgery Podiatrist in Elgin, IL
• Providers in Elgin, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.