Foot & Ankle Reconstruction Associates LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3400 Issued in FL

Legal business name

FOOT & ANKLE RECONSTRUCTION ASSOCIATES LLC

Practice address

3255 S Highlands Ave
Sebring, FL 33870-5404

Phone

(863) 385-5525

Fax

(863) 385-7312

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 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

Dr. Tim Chan, DPM

Title

Ceo

Phone

(863) 385-5525

Specialties & licenses 1

Addresses

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.

• Timothy Chan I, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tacoma, WA
  • NPI 1790955367
  NPD

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1073821294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705404",
            "telephone_number": "863-385-5525",
            "fax_number": "863-385-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705404",
            "telephone_number": "863-385-5525",
            "fax_number": "863-385-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE RECONSTRUCTION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-385-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Rheumatology Associates Inc
• Florida Senior Living, LLC (Palms Home Care)
• Florida Woman Care LLC
• Andrea Flowers
• James Edwin Folkner II, ARNP
• Foot & Ankle Reconstruction Associates LLC
• Edith Ford, LPN
• Christopher Brock Forsee, DMD
• Rafael Eudardo Franjul Diaz, MD
• Danielle Marie Frazier, LPN

• Podiatrist in Sebring, FL
• Providers in Sebring, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.