Organization Active NPI

Fornelli Feet PA

  • Foot & Ankle Surgery Podiatrist
  • Wichita, KS
National Provider Identifier
1386844967
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1200279 Issued in KS
Legal business name
FORNELLI FEET PA
Practice address
7224 E Bainbridge CT
Wichita, KS 67226-1140
Phone
(316) 687-9700
Fax
(316) 687-4827
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Tony J. Fornelli
Title
Owner
Phone
(316) 687-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1200279 KS Primary

Addresses

Primary practice location

7224 E Bainbridge CT
Wichita, KS 67226-1140

Mailing address

1515 S Clifton Ave
Suite 440
Wichita, KS 67218-2900
Phone (316) 687-9700

National Provider Directory

National Provider Directory

Locations

1009 Marshall Ave
Chapman, KS 67431
Phone (785) 922-6525

1433 N Hamilton Dr
Derby, KS 67037
Phone (316) 247-6465

602 Crestview Dr
Enterprise, KS 67441
Phone (785) 226-1814

736 Heylman St
Fort Scott, KS 66701
Phone (316) 223-3120

1515 S Clifton Ave
Ste 440
Wichita, KS 67218
Phone (316) 687-9700

Practitioners & affiliated clinicians

Practitioners 3

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1386844967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "SUITE 440",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-687-9700",
            "fax_number": "316-687-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 E BAINBRIDGE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261140",
            "telephone_number": "316-687-9700",
            "fax_number": "316-687-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORNELLI FEET PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "FORNELLI",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-687-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "1200279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.