Organization Active NPI

New Hanover Foot & Ankle Center, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Wilmington, NC
National Provider Identifier
1295761773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
495 Issued in NC
Legal business name
NEW HANOVER FOOT & ANKLE CENTER, P.A.
Practice address
5305 Wrightsville Ave
BLD. L
Wilmington, NC 28403-6507
Phone
(954) 288-5853
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edwin Britt Martin III, D.P.M.NPI 1134168214
Title
Owner/President
Phone
(954) 288-5853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 495 NC Primary

Addresses

Primary practice location

5305 Wrightsville Ave
BLD. L
Wilmington, NC 28403-6507

Mailing address

1121 Military Cutoff Rd
Suite C #262
Wilmington, NC 28405-3658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060505000250 NC Part B Supplier - Clinic/Group Practice 1153332176 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC
O20100930055454 NC DME Supplier - Physician - Podiatry 1153332176 Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

5305 Wrightsville Ave
Ste L
Wilmington, NC 28403
Phone (910) 350-3338

1121 Military Cutoff Rd
Ste 262C
Wilmington, NC 28405

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295761773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 MILITARY CUTOFF RD",
            "address_2": "SUITE C #262",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 WRIGHTSVILLE AVE",
            "address_2": "BLD. L",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036507",
            "telephone_number": "954-288-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HANOVER FOOT & ANKLE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "BRITT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-288-5853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.