Organization Active NPI

Kentucky Foot & Ankle Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • Lexington, KY
National Provider Identifier
1114053584
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00253 Issued in KY
Legal business name
KENTUCKY FOOT & ANKLE ASSOCIATES PLLC
Practice address
1401 Harrodsburg Rd
Ste B295
Lexington, KY 40504-1764
Phone
(859) 276-5349
Fax
(859) 276-5340
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Dr. Christopher B Wieting, DPMNPI 1639172406
Title
President
Phone
(859) 276-5349

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 00253 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
Ste B295
Lexington, KY 40504-1764

Mailing address

1401 Harrodsburg Rd
Ste B295
Lexington, KY 40504-1764
Phone (859) 276-5349

Other identifiers 1

IdentifierTypeStateIssuer
8090002000MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000572 KY Part B Supplier - Clinic/Group Practice 4183538838 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0992684Kentucky Foot and Ankle Associates1401 Harrodsburg Road Suite B295, Lexington, KY 40504Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

300 Berry Ave
Versailles, KY 40383
Phone (859) 873-0841

Practitioners & affiliated clinicians

Practitioners 9

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1114053584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "STE B295",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041764",
            "telephone_number": "859-276-5349",
            "fax_number": "859-276-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "STE B295",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041764",
            "telephone_number": "859-276-5349",
            "fax_number": "859-276-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FOOT & ANKLE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "WIETING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-276-5349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8090002000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.