Organization Active NPI

Carolina Foot and Ankle, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Shelby, NC
National Provider Identifier
1275740037
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
112 Issued in NC
Legal business name
CAROLINA FOOT AND ANKLE, P.A.
Practice address
116 Lee St
Shelby, NC 28150-3839
Phone
(704) 487-0634
Fax
(704) 487-0691
NPI assigned
May 17, 2007
Last updated
Sep 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Steven E. Skorman, D.P.M.
Title
Owner
Phone
(704) 487-0634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 112 NC Primary

Addresses

Primary practice location

116 Lee St
Shelby, NC 28150-3839

Mailing address

116 Lee St
Shelby, NC 28150-3839
Phone (704) 487-0634

Other identifiers 2

IdentifierTypeStateIssuer
7908167MedicaidNC
0805NOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

116 Lee St
Shelby, NC 28150
Phone (704) 487-0634

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1275740037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LEE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503839",
            "telephone_number": "704-487-0634",
            "fax_number": "704-487-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LEE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503839",
            "telephone_number": "704-487-0634",
            "fax_number": "704-487-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT AND ANKLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "SKORMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-487-0634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908167",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0805N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.