Advanced Medical Footcare, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ADVANCED MEDICAL FOOTCARE, LLC

Practice address

1817 Black Rock Turnpike
Fairfield, CT 06825-3546

Phone

(203) 330-8080

Fax

(203) 334-6924

NPI assigned

Nov 27, 2006

Last updated

Sep 10, 2018By 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

Carol A Callahan, DPMNPI 1861485633

Title

Partner

Phone

(203) 330-8080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Song Ki Yu, DPM

  • Podiatrist
  • Fairfield, CT
  • NPI 1790770352
  Medicare reassignment NPD
• Carol A Callahan, DPM

  • Podiatrist
  • Fairfield, CT
  • NPI 1861485633
  Authorized official Same address or phone
• Duke Sang Young Yoo III, D.P.M.

  • Podiatrist
  • North Haven, CT
  • NPI 1295812378
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1376619924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 BLACK ROCK TURNPIKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253546",
            "telephone_number": "203-330-8080",
            "fax_number": "203-334-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 BLACK ROCK TURNPIKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253546",
            "telephone_number": "203-330-8080",
            "fax_number": "203-334-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL FOOTCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-330-8080",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Therapy, LL
• Ada Therapy, LLC
• Adam Bard, MD LLC
• Michelle Adelman, M.S.ED., L.P.C.
• Judith Karen Adelstein, APRN
• Advanced Radiology Consultants
• Affiliates in Women's Care LLC
• Afm Counseling PLLC
• Aram Yuri Agadjanian, DDS
• Cheyenne Samra Ahmad

• Podiatrist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.