Christian County Foot and Ankle Center, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CHRISTIAN COUNTY FOOT AND ANKLE CENTER, INC

Practice address

1610 S Main St
Suite 9
Hopkinsville, KY 42240-1974

Phone

(270) 885-1203

Fax

(270) 885-1561

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Edmunds, DPMNPI 1679540702

Title

President

Phone

(270) 885-1203

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Christian County Foot and Ankle Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hopkinsville, KY
  • NPI 1043477631

  O20100930094399

  Same enrollment

Locations

Practitioners 1

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

• Mark Joseph Edmunds, D.P.M.

  • Podiatrist
  • Hopkinsville, KY
  • NPI 1679540702
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1295992873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S MAIN ST",
            "address_2": "SUITE 9",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401974",
            "telephone_number": "270-885-1203",
            "fax_number": "270-885-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S MAIN ST",
            "address_2": "SUITE 9",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401974",
            "telephone_number": "270-885-1203",
            "fax_number": "270-885-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNTY FOOT AND ANKLE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-885-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "00294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100074830",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCAR #",
            "identifier": "DO8812",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100095890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Care Communities, Inc. (Hopkinsville Pharmacy)
• Christian Care Communities, Inc. (Christian Health Center Hopkinsville)
• Christian Co Anesthesia
• Christian County Anesthesia, PLLC
• Christian County Board of Education
• Christian County Foot and Ankle Center, Inc.
• Christian County Health Department
• Christian County Health Dept
• Christian County High School
• Christian County Manor I LLC

• Podiatrist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.