Williamson Foot Clinic, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00295 Issued in KY

Legal business name

WILLIAMSON FOOT CLINIC, PLLC

Practice address

28531 US Highway 119 Ste 202
South Williamson, KY 41503-3928

Phone

(606) 237-5000

Fax

(606) 237-5001

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Burton Avery, D.P.M.

Title

Podiatrist

Phone

(606) 237-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Steve Scott Melek

  • Podiatrist
  • Logan, WV
  • NPI 1861403222
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1376642215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28531 US HIGHWAY 119 STE 202",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415033928",
            "telephone_number": "606-237-5000",
            "fax_number": "606-237-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28531 US HIGHWAY 119 STE 202",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415033928",
            "telephone_number": "606-237-5000",
            "fax_number": "606-237-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON FOOT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "606-237-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004941",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900301",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2548)
• Angela D. Wallace, BS
• Anna Curcio Ward, NP
• Carla Watts, LDO
• Williamson Emergency Physicians LLC
• Williamson Medical Group Inc
• Cynthia Anitra Workman, MA/PE
• Elizabeth Wright, PHARMD

• Podiatrist in South Williamson, KY
• Providers in South Williamson, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.