Northern Kentucky Foot Specialists, PSC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

NORTHERN KENTUCKY FOOT SPECIALISTS, PSC

Practice address

1125 Boone Aire Rd
Florence, KY 41042-1201

Phone

(859) 371-4020

Fax

(859) 746-7464

NPI assigned

Oct 20, 2006

Last updated

Feb 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William M Nielson, DPMNPI 1174521082

Title

President

Phone

(859) 746-7461

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William M Nielson, DPM

  • Primary Podiatric Medicine Podiatrist
  • Florence, KY
  • NPI 1174521082
  Authorized official Same address or phone

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1073695599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410050389",
            "telephone_number": "859-746-7461",
            "fax_number": "859-746-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BOONE AIRE RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421201",
            "telephone_number": "859-371-4020",
            "fax_number": "859-746-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY FOOT SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-746-7461",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90040080",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80903644",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C11409",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Kentucky Center for Pain Relief, LLC
• Northern Kentucky Childrens Advocacy Center
• Northern Kentucky Consumer Directed Option Program
• Northern Kentucky Consumer Directed Option Program
• Northern Kentucky Consumer Directed Options Program
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Health Department
• Northern Kentucky Home Care, LLC (Home Instead Senior Care)

• Foot & Ankle Surgery Podiatrist in Florence, KY
• Providers in Florence, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.