Foot & Ankle Center of Southern Maine

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOT & ANKLE CENTER OF SOUTHERN MAINE

Practice address

75 Portland Rd
Kennebunk, ME 04043-6602

Phone

(207) 985-9888

Fax

(207) 985-3488

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

David Micca, DPM

Title

Owner and Provider

Phone

(207) 985-9888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1184775447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PORTLAND RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436602",
            "telephone_number": "207-985-9888",
            "fax_number": "207-985-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PORTLAND RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436602",
            "telephone_number": "207-985-9888",
            "fax_number": "207-985-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CENTER OF SOUTHERN MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MICCA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-985-9888",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feel Better LLC
• Megan Fernandez, LCSW-CC
• William James Ferreira, PSYCHOLOGY EXAMINER
• Sara D Filliettaz, LCSW
• Chad A Flagg, MPT
• Foot and Ankle Center of Southern Maine
• Merilee Lacey Forbes-Kearns, MA MS CCC-SLP
• Lawrence Ford
• Crescentia Jean Fosmire, OTRL
• Mary Foster, OT

• Podiatrist in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.