Foot Health Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

395 Issued in CT

Legal business name

FOOT HEALTH CENTER, LLC

Doing business as

Medicare NSC

Practice address

714 S Main St
Cheshire, CT 06410-3448

Phone

(203) 271-0556

Fax

(203) 250-9951

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Ackley, DPM

Title

Podiatrist, Owner

Phone

(203) 271-0556

Specialties & licenses 2

Addresses

Other identifiers 10

Other names 1

• Medicare NSC Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1053400176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103448",
            "telephone_number": "203-271-0556",
            "fax_number": "203-250-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103448",
            "telephone_number": "203-271-0556",
            "fax_number": "203-250-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST, OWNER",
        "authorized_official_telephone_number": "203-271-0556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "395",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "787023",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE PREF ONE",
            "identifier": "129286",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4068714",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "030000395CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2721297",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0542290",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "129286",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V1300",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480028957",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "NHS221",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicare NSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Ruth Fischbein, M.D.
• Diana Lynn Fitzgerald, NP, CNM
• Alexandra Fitzner, LPC
• Dane Bielert Fletcher, DMD
• Kim C Fletcher, M.D.
• Jennifer M Forrest, OTR/L, CHT
• Marisa Forti I, LMT
• Julie Marie Fortuna
• Alysia Fox, LPC, ATR
• Diana G Fox, PSY.D

• Podiatrist in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.