Organization Active NPI

East Carolina Foot and Ankle Specialists,PA

  • Podiatrist
  • Williamston, NC
National Provider Identifier
1295851517
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
448 Issued in NC
Legal business name
EAST CAROLINA FOOT AND ANKLE SPECIALISTS,PA
Practice address
411 W Main St
Williamston, NC 27892-2319
Phone
(252) 809-1500
Fax
(252) 809-1505
NPI assigned
Mar 21, 2007
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Dr. Marc Anthony Sabo, DPMNPI 1730193228
Title
Physician
Phone
(252) 809-1500

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
Podiatrist 213E00000X 448 NC Primary

Addresses

Primary practice location

411 W Main St
Williamston, NC 27892-2319

Mailing address

PO Box 188
Williamston, NC 27892-0188

Other identifiers 1

IdentifierTypeStateIssuer
89012UKMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000611 NC Part B Supplier - Clinic/Group Practice 5991795684 Receives reassigned benefits from 2 practitioners
Practice locations: Edenton, NC; Kitty Hawk, NC; Williamston, NC

National Provider Directory

National Provider Directory

Locations

411 W Main St
Williamston, NC 27892
Phone (252) 809-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1295851517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278920188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922319",
            "telephone_number": "252-809-1500",
            "fax_number": "252-809-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA FOOT AND ANKLE SPECIALISTS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-809-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012UK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.