Active NPI
The Foot Group, LLC
- Durable Medical Equipment & Medical Supplies
- Willimantic, CT
National Provider Identifier
1184772071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THE FOOT GROUP, LLC
- Practice address
- 162 Mansfield Ave # a
Willimantic, CT 06226-2041 - Phone
- (860) 456-4250
- Fax
- (860) 456-3745
- NPI assigned
- Jan 8, 2007
- Organization subpart
- Yes
- Parent organization
- THE FOOT GROUP, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael James Scanlon, DPM
- Title
- Owner
- Phone
- (860) 456-4250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
162 Mansfield Ave # a
Willimantic, CT 06226-2041
Mailing address
196 Parkway S
Suite 304
Waterford, CT 06385-1234
Phone (860) 442-7027
National Provider Directory
National Provider Directory- Part of
- The Foot Group LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Foot & Ankle Surgery Podiatrist
- Willimantic, CT
- NPI 1710914379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1184772071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 PARKWAY S",
"address_2": "SUITE 304",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063851234",
"telephone_number": "860-442-7027",
"fax_number": "860-444-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 MANSFIELD AVE # A",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262041",
"telephone_number": "860-456-4250",
"fax_number": "860-456-3745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FOOT GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE FOOT GROUP, LLC",
"enumeration_date": "2007-01-08",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "SCANLON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-456-4250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.