Organization Active NPI

Family Footcare, LLC

  • Podiatrist
  • Selma, AL
National Provider Identifier
1104025600
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
256 Issued in AL
Legal business name
FAMILY FOOTCARE, LLC
Doing business as
Family Footcare of Selma
Practice address
6 Office Park Cir
Selma, AL 36701-6506
Phone
(334) 872-5636
Fax
(334) 872-5199
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Tomeko Lydritrius McPhillips, DPM
Title
Co-Owner
Phone
(334) 872-5636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 248 AL
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 256 AL Primary

Addresses

Primary practice location

6 Office Park Cir
Selma, AL 36701-6506

Mailing address

6 Office Park Cir
Selma, AL 36701-6506
Phone (334) 872-5636

Other names 1

  • Family Footcare of Selma Doing business as

National Provider Directory

National Provider Directory

Locations

6 Office Park Cir
Selma, AL 36701
Phone (334) 872-5636

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1104025600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016506",
            "telephone_number": "334-872-5636",
            "fax_number": "334-872-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016506",
            "telephone_number": "334-872-5636",
            "fax_number": "334-872-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "MCPHILLIPS",
        "authorized_official_first_name": "TOMEKO",
        "authorized_official_middle_name": "LYDRITRIUS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "334-872-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "248",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Footcare of Selma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.