NPIMap

Organization Active NPI

Foot and Ankle Center of NC, PA

  • Podiatrist
  • Pinehurst, NC
National Provider Identifier
1083661136
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
292, 493 Issued in NC
Legal business name
FOOT AND ANKLE CENTER OF NC, PA
Practice address
3 Regional Cir
Suite B
Pinehurst, NC 28374-9796
Phone
(910) 295-9262
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Phillip E Ward, DPMNPI 1396749198
Title
President
Phone
(910) 295-9262

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 292, 493 NC Primary

Addresses

Primary practice location

3 Regional Cir
Suite B
Pinehurst, NC 28374-9796

Mailing address

3 Regional Cir
Suite B
Pinehurst, NC 28374-9796
Phone (910) 295-9262

Other identifiers 2

IdentifierTypeStateIssuer
890273MMedicaidNC
CD9274OtherNCRR GROUP #

National Provider Directory

National Provider Directory

Practitioners & 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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1083661136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REGIONAL CIR",
            "address_2": "SUITE B",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-295-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 REGIONAL CIR",
            "address_2": "SUITE B",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-295-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF NC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-295-9262",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "292, 493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890273M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP #",
            "identifier": "CD9274",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.