Piedmont Foot Clinic, PA

Key facts

NPI

1194783233

Entity type

Organization (NPI type 2)

Primary specialty

Primary Podiatric Medicine Podiatrist 213EP1101X

Legal business name

PIEDMONT FOOT CLINIC, PA

Practice address

103 Parkway Office Court
Suite 100
Cary, NC 27518-7429

Phone

(919) 481-3338

Fax

(919) 467-2436

NPI assigned

May 1, 2006

Organization subpart

No

Authorized official

Name

Mr. William James Malich

Title

Office Manager

Phone

(919) 481-3338

Practitioners 1

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

• Kendall Leon Blackwell, DPM Primary Podiatric Medicine Podiatrist · Wilson, NC · NPI 1366483638
  NPD (past) PRIMARY PODIATRIC MEDICINE

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• PIEDMONT FOOT & ANKLE CLINIC, PA Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2011.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1194783233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE COURT",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187429",
            "telephone_number": "919-481-3338",
            "fax_number": "919-467-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE COURT",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187429",
            "telephone_number": "919-481-3338",
            "fax_number": "919-467-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FOOT CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "MALICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-481-3338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890803A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC GROUP #",
            "identifier": "0803A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIEDMONT FOOT & ANKLE CLINIC, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

• Erica Pica
• Abigail Pickett
• Alicia Mignon Picou, MA CCC-SLP
• Janea Sweet Piecuch, DPT
• Piedmont Clinic of Chiropractic
• Amber Pierce
• Michael Robert Pike, M.D.
• David M Pilati, M.D.
• Alexis Sierra Piliouras
• Ranjini R Pillai, DDS

All providers in Cary, NC · Primary Podiatric Medicine Podiatrist in North Carolina