Footheals Prosthetics and Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FOOTHEALS PROSTHETICS AND ORTHOTICS, INC.

Practice address

2406 Susannah St
Lower Level
Johnson City, TN 37601-1725

Phone

(423) 975-5462

Fax

(423) 975-5463

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Calvin K Hoyle, CP, BOCO, CPEDNPI 1033239769

Title

Prothetist, Orthotist,, Pedorthist

Phone

(423) 975-5462

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Calvin K Hoyle, CP, BOCO, C-PED

  • Prosthetist
  • Johnson City, TN
  • NPI 1033239769
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1124101373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 SUSANNAH ST",
            "address_2": "LOWER LEVEL",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011725",
            "telephone_number": "423-975-5462",
            "fax_number": "423-975-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 SUSANNAH ST",
            "address_2": "LOWER LEVEL",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011725",
            "telephone_number": "423-975-5462",
            "fax_number": "423-975-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHEALS PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HOYLE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROTHETIST, ORTHOTIST,, PEDORTHIST",
        "authorized_official_telephone_number": "423-975-5462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, BOCO, CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4145147",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455141",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Holland Flynt-Wampler, LCSW
• Michael D Folan, NP
• Caitlin Jan Follansbee, OD
• Susan Williamson Fondry, LCSW
• Matthew Zachariah Foote
• Mary Beth Foran Rolen, DNP; APRN; FNP-BC
• Lisa Ann Forbes, MED
• Zachary Austin Forbes
• Frank A Forbush, MD
• Alice Ford

• Prosthetic/Orthotic Supplier in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.