Foothills Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FOOTHILLS PEDIATRICS, PA

Practice address

290 Enterprise Dr
Easley, SC 29642-8280

Phone

(864) 220-1110

Fax

(864) 220-1104

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Fredda Lee Monroe

Title

Practice Manager

Phone

(864) 220-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265400469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ENTERPRISE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428280",
            "telephone_number": "864-220-1110",
            "fax_number": "864-220-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ENTERPRISE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428280",
            "telephone_number": "864-220-1110",
            "fax_number": "864-220-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "FREDDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-220-1110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3241",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foothills Community Health Care, Inc
• Foothills Community Health Care, Inc.
• Foothills Community Health Care, Inc.
• Foothills E.N.T., PA
• Foothills Internal Medicine
• Foothills Urology
• Bonnie Forbes
• Will Fortner
• Brandi Michelle Foster
• Foundations Speech and Feeding, LLC

• Pediatrics Physician in Easley, SC
• Providers in Easley, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.