Organization Active NPI

Kalish Foot & Ankle Institute

  • Foot & Ankle Surgery Podiatrist
  • Jonesboro, GA
National Provider Identifier
1073076170
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.