Northern Kentucky Foot Specialists, PSC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

NORTHERN KENTUCKY FOOT SPECIALISTS, PSC

Practice address

7210 Turfway Rd
Florence, KY 41042-5117

Phone

(859) 525-9960

Fax

(859) 525-0249

NPI assigned

Oct 27, 2006

Last updated

Feb 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William M Nielson, DPM

Title

President

Phone

(859) 746-7461

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1295811008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410050389",
            "telephone_number": "859-746-7461",
            "fax_number": "859-746-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 TURFWAY RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425117",
            "telephone_number": "859-525-9960",
            "fax_number": "859-525-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY FOOT SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-746-7461",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90220088",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80903867",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C11409",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Kentucky Childrens Advocacy Center
• Northern Kentucky Consumer Directed Option Program
• Northern Kentucky Consumer Directed Option Program
• Northern Kentucky Consumer Directed Options Program
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Health Department
• Northern Kentucky Home Care, LLC (Home Instead Senior Care)
• Northern Kentucky Independent Disitrict Health Department

• Foot & Ankle Surgery Podiatrist in Florence, KY
• Providers in Florence, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.