Northern Kentucky Foot Specialists, PSC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NORTHERN KENTUCKY FOOT SPECIALISTS, PSC

Practice address

525 Alexandria Pike
Suite 230
Southgate, KY 41071-3290

Phone

(859) 781-8890

Fax

(859) 781-1120

NPI assigned

Oct 9, 2006

Last updated

Feb 12, 2010By 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

William M Nielson, DPM

Title

President

Phone

(859) 746-7461

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1346337599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410050389",
            "telephone_number": "859-746-7461",
            "fax_number": "859-746-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ALEXANDRIA PIKE",
            "address_2": "SUITE 230",
            "city": "SOUTHGATE",
            "state": "KY",
            "postal_code": "410713290",
            "telephone_number": "859-781-8890",
            "fax_number": "859-781-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY FOOT SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-746-7461",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90012030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy McDannold, M.D.
• Stephen F Mielech, DPM
• Sarah Milczarek, PHARMD
• Christina C Niemer, PA-C
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Zachary Joseph Obert, PHARMD
• Orthocincy
• James John Otrembiak, M.D.

• Prosthetic/Orthotic Supplier in Southgate, KY
• Providers in Southgate, KY by specialty
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.