NPIMap

Organization Active NPI

Guilford Foot Center PA

  • Primary Podiatric Medicine Podiatrist
  • High Point, NC
National Provider Identifier
1104905371
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
NC233 Issued in NC
Legal business name
GUILFORD FOOT CENTER PA
Practice address
3931 Tinsley Dr
Suite 104
High Point, NC 27265-1532
Phone
(336) 282-8787
Fax
(336) 510-7284
NPI assigned
Nov 6, 2006
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Myeong Sheard, DPMNPI 1871657924
Title
President
Phone
(336) 282-8787

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X NC233 NC Primary
Radiology Podiatrist 213ER0200X 233 NC
Foot Surgery Podiatrist 213ES0131X 233 NC

Addresses

Primary practice location

3931 Tinsley Dr
Suite 104
High Point, NC 27265-1532

Mailing address

3931 Tinsley Dr
Suite 104
High Point, NC 27265-1532
Phone (336) 282-8787

Other identifiers 1

IdentifierTypeStateIssuer
890808WMedicaidNC

National Provider Directory

National Provider Directory

Locations

2100 W Cornwallis Dr
Ste N
Greensboro, NC 27408
Phone (336) 852-9152

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1104905371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 TINSLEY DR",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651532",
            "telephone_number": "336-282-8787",
            "fax_number": "336-510-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 TINSLEY DR",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651532",
            "telephone_number": "336-282-8787",
            "fax_number": "336-510-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD FOOT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "SHEARD",
        "authorized_official_first_name": "MYEONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-282-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "NC233",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NC",
            "license": "233",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890808W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.