Active NPI
Piedmont Foot and Ankle Associates, P. C.
- Foot & Ankle Surgery Podiatrist
- Elkin, NC
National Provider Identifier
1336210921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 388
- Legal business name
- PIEDMONT FOOT AND ANKLE ASSOCIATES, P. C.
- Practice address
- 680 Parkwood Medical Park
Elkin, NC 28621-2487 - Phone
- (336) 835-7676
- Fax
- (336) 835-7209
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thurmond Eric Siceloff, DPM
- Title
- Vice President
- Phone
- (336) 835-7676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 388 | NC | Primary |
Addresses
Primary practice location
680 Parkwood Medical Park
Elkin, NC 28621-2487
Mailing address
2825 Lyndhurst Ave
Suite 105
Winston Salem, NC 27103-4146
Phone (336) 768-3305
National Provider Directory
National Provider Directory- Tax ID family
- Piedmont Foot Ankle Associates PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Elkin, NC
- NPI 1578785960
-
- Podiatrist
- King, NC
- NPI 1649492042
Locations
680 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-8359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336210921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 LYNDHURST AVE",
"address_2": "SUITE 105",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034146",
"telephone_number": "336-768-3305",
"fax_number": "336-768-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 PARKWOOD MEDICAL PARK",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212487",
"telephone_number": "336-835-7676",
"fax_number": "336-835-7209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT FOOT AND ANKLE ASSOCIATES, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SICELOFF",
"authorized_official_first_name": "THURMOND",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "336-835-7676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.