NPIMap

Organization Active NPI

Advanced Foot Care of Palatine, P.C.

  • Podiatrist
  • Palatine, IL
National Provider Identifier
1316143530
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ADVANCED FOOT CARE OF PALATINE, P.C.
Practice address
711 W Dundee Rd
Palatine, IL 60074-0715
Phone
(847) 358-7005
Fax
(847) 358-7065
NPI assigned
Jun 25, 2007
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Mark David Suran, D.P.M.
Title
President
Phone
(847) 358-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X IL Primary

Addresses

Primary practice location

711 W Dundee Rd
Palatine, IL 60074-0715

Mailing address

PO Box 965
Palatine, IL 60078-0965
Phone (847) 358-7005

Other identifiers 1

IdentifierTypeStateIssuer
60001608OtherILBLUE CROSS BLUE SHIELD IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1316143530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600780965",
            "telephone_number": "847-358-7005",
            "fax_number": "847-358-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W DUNDEE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600740715",
            "telephone_number": "847-358-7005",
            "fax_number": "847-358-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE OF PALATINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SURAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-358-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "60001608",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.