Organization Active NPI

Piedmont Foot and Ankle Associates, P. C.

  • Foot & Ankle Surgery Podiatrist
  • Elkin, NC
National Provider Identifier
1336210921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
388 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.