Active NPI
South Central Kentucky Foot & Ankle Center
- Foot & Ankle Surgery Podiatrist
- Bowling Green, KY
National Provider Identifier
1063675866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 234
- Legal business name
- SOUTH CENTRAL KENTUCKY FOOT & ANKLE CENTER
- Practice address
- 843 Fairvew Avenue
Suite B5
Bowling Green, KY 42101-4914 - Phone
- (270) 846-1900
- Fax
- (270) 846-2919
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher M Holland, DPM
- Title
- Owner
- Phone
- (270) 846-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 234 | KY | Primary |
Addresses
Primary practice location
843 Fairvew Avenue
Suite B5
Bowling Green, KY 42101-4914
Mailing address
PO Box 1596
Bowling Green, KY 42102-1596
Phone (270) 846-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90013897 | Other | KY | KY HEALTH CHOICES- DME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225843200000",
"number": "1063675866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1596",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421021596",
"telephone_number": "270-846-1900",
"fax_number": "270-846-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 FAIRVEW AVENUE",
"address_2": "SUITE B5",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014914",
"telephone_number": "270-846-1900",
"fax_number": "270-846-2919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CENTRAL KENTUCKY FOOT & ANKLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2008-11-05",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-846-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY HEALTH CHOICES- DME",
"identifier": "90013897",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.