Active NPI
St. Matthews Foot and Ankle Clinic
- Customized Equipment (DME)
- Louisville, KY
National Provider Identifier
1083662704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 195
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000290617 | Other | KY | BLUECROSS |
Other names 1
- Feet First
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
- NPI 1184623290
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.