Active NPI
Kalish Foot & Ankle Institute
- Foot & Ankle Surgery Podiatrist
- Jonesboro, GA
National Provider Identifier
1073076170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- KALISH FOOT & ANKLE INSTITUTE
- Practice address
- 6911 Tara Blvd Ste 101
Jonesboro, GA 30236-1503 - Phone
- (770) 477-9535
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- 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
- Elizabeth Maynor
- Title
- Credentialing Coordinator
- Phone
- (770) 477-9535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
6911 Tara Blvd Ste 101
Jonesboro, GA 30236-1503
Mailing address
6911 Tara Blvd Ste 101
Jonesboro, GA 30236-1503
Phone (770) 477-9535
National Provider Directory
National Provider DirectoryLocations
6911 Tara Blvd
Ste 101
Jonesboro, GA 30236
Phone (770) 477-9535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554681600000",
"number": "1073076170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 TARA BLVD STE 101",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361503",
"telephone_number": "770-477-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 TARA BLVD STE 101",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361503",
"telephone_number": "770-477-9535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALISH FOOT & ANKLE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A",
"authorized_official_last_name": "MAYNOR",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "770-477-9535"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Southwood Infusion Pharmacy)
- Kaiser Foundation Health Plan of Georgia, Inc. (Southwood Home Infusion Retail Pharmacy)
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Southwood)
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Southwood Clinic Pharmacy)
- Kaizencare Home Services LLC
- Stanley Richard Kalish, DPM
- Sandra Mirie Kang, MD
- Karibuni, LLC
- Shawn G Kaser, MD
- Rafik B Kashlan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.