Richmond Foot Clinic P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

250 Issued in NC

Legal business name

RICHMOND FOOT CLINIC P.A.

Practice address

721 S Long Dr
Rockingham, NC 28379-4315

Phone

(910) 997-3779

Fax

(910) 997-7433

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mirfattah Mirian, D.P.M.NPI 1538285069

Title

President

Phone

(910) 997-3779

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirfattah Mirian, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rockingham, NC
  • NPI 1538285069
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1043337595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-997-3779",
            "fax_number": "910-997-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-997-3779",
            "fax_number": "910-997-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND FOOT CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "MIRIAN",
        "authorized_official_first_name": "MIRFATTAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-997-3779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032821",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890812A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0812A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richmond County Government
• Richmond County Health Department
• Richmond County Health Department Pharmacy
• Richmond County Hospice Inc
• Richmond County Rescue Mission Inc.
• Richmond Interagency Transportation Inc
• Richmond Internal Medicine and Cardiology Associates PA
• Richmond OB GYN PA
• Richmond Pediatrics
• Richmond Surgical Clinic PA

• Foot & Ankle Surgery Podiatrist in Rockingham, NC
• Providers in Rockingham, 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 Jun 15, 2010; 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.