Ankle and Foot Surgical and Podiatry Clinic PA
Organization Active NPI Foot & Ankle Surgery Podiatrist · West End, NC
NPI 1063648533 · NPPES record last updated Oct 30, 2009
Key facts
- NPI
- 1063648533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 493 (NC)
- Legal business name
- ANKLE AND FOOT SURGICAL AND PODIATRY CLINIC PA
- Practice address
- 200 Westgate Dr
Suite a
West End, NC 27376-8038 - Phone
- (910) 295-7400
- Fax
- (910) 295-0104
- NPI assigned
- Jun 10, 2009
- Organization subpart
- No
Authorized official
- Name
- Alfonso Anthony Haro III, DPM
- Title
- President
- Phone
- (910) 295-7400
Other NPIs on the same Medicare enrollment 1
-
Alfonso Haro, DPM
Practitioners 12
-
Alfonso Haro, DPM
-
Kevin W Schmidtke, D.P.M.
-
Amie Lehman Haracz, D.P.M.
-
Gerald Crist, PA
-
Hyman Louis Fowler Jr., PA-C
-
Kevin Pilecki, P.A.
-
Theodore M Pitts, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090724000573 | NC | Part B Supplier - Clinic/Group Practice | 9830242775 |
Receives reassigned benefits from 3 practitioners Practice locations: Sanford, NC; Troy, NC; West End, NC |
| O20100930095713 | NC | DME Supplier - Physician - Podiatry | 9830242775 |
1 other NPI on this enrollment Practice locations: West End, NC |
National Provider Directory
Locations
1139 Carthage St
Ste 101
Sanford, NC 27330
Phone (919) 774-1355
522 Allen St
Ste 201B
Troy, NC 27371
Phone (910) 571-5710
200 Westgate Dr
#A
West End, NC 27376
Phone (910) 295-7400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 493 | NC | Yes |
Addresses
Primary practice location
200 Westgate Dr
Suite a
West End, NC 27376-8038
Mailing address
200 Westgate Dr
Suite a
West End, NC 27376-8038
Phone (910) 295-7400
Other providers in West End, NC
- Mechelle Renee Akers
- Amy L Murphy LCSW PLLC
- Jeremiah D Anderson
- Kintina H Anderson
- Holly Anne Appanaitis
- Doria Kosmala Arthur
- Jennifer Ellen Neal Ashwell
- Melissa Sue Aubin
- Elizabeth August
All providers in West End, NC · Foot & Ankle Surgery Podiatrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.