Foot, Ankle & Leg Center of Rome LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001142 Issued in GA

Legal business name

FOOT, ANKLE & LEG CENTER OF ROME LLC

Practice address

126 Three Rivers Dr NE
Rome, GA 30161-4999

Phone

(706) 232-4577

Fax

(706) 232-6750

NPI assigned

Aug 16, 2011

Last updated

Sep 20, 2012By 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

Dr. Azuka Ifeyinwa Nwaedozie, D.P.MNPI 1275780199

Title

C.E.O

Phone

(706) 232-4577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Practitioners 4

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.

• Azuka Ifeyinwa Nwaedozie, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Rome, GA
  • NPI 1275780199
  Medicare reassignment Care Compare group NPD Authorized official
• Ifeoma O. Nwaedozie, DPM

  • Foot Surgery Podiatrist
  • Rome, GA
  • NPI 1760113187

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Alpa B. Patel, DPM

  • Podiatrist
  • Rome, GA
  • NPI 1851378186
  NPD
• Tamala Walton-Sampson, D.P.M

  • Podiatrist
  • Rome, GA
  • NPI 1326350075
  NPD

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1316226780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-232-4577",
            "fax_number": "706-232-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-232-4577",
            "fax_number": "706-232-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT, ANKLE & LEG CENTER OF ROME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "NWAEDOZIE",
        "authorized_official_first_name": "AZUKA",
        "authorized_official_middle_name": "IFEYINWA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "706-232-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristofer Ryan Foreman, P.A.
• Larry Hugh Formby, MD
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• Forum Group @ Mt. Berry Nursing & Rehabilitation Center, LLC
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• Foot & Ankle Surgery Podiatrist in Rome, GA
• Providers in Rome, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.