Foot Centers of NC, P.a.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

297 Issued in NC

Legal business name

FOOT CENTERS OF NC, P.A.

Practice address

3303 Healy Dr Ste B
Winston Salem, NC 27103-1569

Phone

(336) 768-8848

Fax

(336) 768-3078

NPI assigned

Oct 2, 2006

Last updated

Feb 19, 2019By 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

John Andrew Petery, DPMNPI 1811946965

Title

President

Phone

(336) 218-8490

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• John Andrew Petery, DPM

  • Primary Podiatric Medicine Podiatrist
  • Greensboro, NC
  • NPI 1811946965
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1033202957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76764 LANCELOT CT",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922117103",
            "telephone_number": "760-408-5053",
            "fax_number": "760-345-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 HEALY DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031569",
            "telephone_number": "336-768-8848",
            "fax_number": "336-768-3078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5921 W Friendly Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274103268",
            "country_code": "US",
            "telephone_number": "336-218-8490",
            "fax_number": "336-768-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT CENTERS OF NC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "PETERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-218-8490",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "297",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN RAILROAD",
            "identifier": "CK4958",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690193J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Yu-on Fong, MD
• Erin Fontaine, OD
• Braxton Lee Fonville
• Foot & Ankle Associates of the Triad, PA
• Foot Care Associates, LLP
• Footprints Counseling, PLLC
• Brandi Lynne Forbes, PA-C
• Erinn Forbes
• Hilda U Forcadela, CRNA
• Aries Ford, RDN,LDN

• Primary Podiatric Medicine Podiatrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.