Organization Active NPI

St. Matthews Foot and Ankle Clinic

  • Customized Equipment (DME)
  • Louisville, KY
National Provider Identifier
1083662704
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
195 Issued in KY
Legal business name
ST. MATTHEWS FOOT AND ANKLE CLINIC
Practice address
117 S Hubbards LN
Suite 102
Louisville, KY 40207-3937
Phone
(270) 433-5806
Fax
(270) 433-2443
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Cindy Shoopman
Title
Office Manager
Phone
(270) 433-5806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 195 KY Primary

Addresses

Primary practice location

117 S Hubbards LN
Suite 102
Louisville, KY 40207-3937

Mailing address

117 S Hubbards LN
Suite 102
Louisville, KY 40207-3937
Phone (270) 433-5806

Other identifiers 1

IdentifierTypeStateIssuer
000000290617OtherKYBLUECROSS

Other names 1

  • Feet First Doing business as

National Provider Directory

National Provider Directory

Locations

117 S Hubbards Ln
Ste 102
Louisville, KY 40207
Phone (270) 433-5806

117 S Hubbards Ln
Ste 103
Louisville, KY 40207
Phone (502) 895-6425

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1083662704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S HUBBARDS LN",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073937",
            "telephone_number": "270-433-5806",
            "fax_number": "270-433-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S HUBBARDS LN",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073937",
            "telephone_number": "270-433-5806",
            "fax_number": "270-433-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MATTHEWS FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "SHOOPMAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-433-5806"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "000000290617",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feet First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.