Organization Active NPI

Foot and Ankle Surgical Center LLC

  • Podiatric Clinic/Center
  • York, PA
National Provider Identifier
1346214947
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
17791501 Issued in PA
Legal business name
FOOT AND ANKLE SURGICAL CENTER LLC
Practice address
1224 S Queen St
York, PA 17403-3923
Phone
(717) 848-4401
Fax
(717) 718-4043
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mr. R. Craig Martin, D.P.M.
Title
Managing Partner
Phone
(717) 848-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 17791501 PA Primary

Addresses

Primary practice location

1224 S Queen St
York, PA 17403-3923

Mailing address

1224 S Queen St
York, PA 17403-3923
Phone (717) 848-4401

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1346214947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033923",
            "telephone_number": "717-848-4401",
            "fax_number": "717-718-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033923",
            "telephone_number": "717-848-4401",
            "fax_number": "717-718-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "717-848-4401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "17791501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.