Wake Foot and Ankle Center PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

389 Issued in NC

Legal business name

WAKE FOOT AND ANKLE CENTER PLLC

Practice address

833 Wake Forest Business Park
Ste C
Wake Forest, NC 27587-6519

Phone

(919) 570-9061

Fax

(919) 570-9064

NPI assigned

May 19, 2008

Last updated

Feb 23, 2012By 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

Mrs. Leah M Judge

Title

Practice Manager

Phone

(919) 570-9061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1033376959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK",
            "address_2": "STE C",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876519",
            "telephone_number": "919-570-9061",
            "fax_number": "919-570-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK",
            "address_2": "STE C",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876519",
            "telephone_number": "919-570-9061",
            "fax_number": "919-570-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOOT AND ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-570-9061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Jonathon Wagoner, DC
• Androu Wahba, DPT
• Wake Audiology & Hearing Aid Associates, PLLC
• Wake County Psychological Services, Inc.
• Wake Family Chiropractic PA
• Wake Forest Adult Day Care Inc
• Wake Forest Adult Day Health Inc.
• Wake Forest Adult Health Inc
• Wake Forest Chiropractic, PA
• Wake Forest Counseling Services, Inc.

• Foot & Ankle Surgery Podiatrist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.