Organization Active NPI

Foot & Ankle East, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Greenville, NC
National Provider Identifier
1396819447
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
470 Issued in NC
Legal business name
FOOT & ANKLE EAST, P.C.
Practice address
3282 Charles Blvd
Greenville, NC 27858-8875
Phone
(252) 695-6000
Fax
(252) 695-6059
NPI assigned
Nov 20, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. William David Respess, D.P.MNPI 1063401164
Title
President
Phone
(252) 695-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 470 NC Primary

Addresses

Primary practice location

3282 Charles Blvd
Greenville, NC 27858-8875

Mailing address

3282 Charles Blvd
Greenville, NC 27858-8875
Phone (252) 695-6000

Other identifiers 4

IdentifierTypeStateIssuer
890808VMedicaidNC
0808VOtherNCNC STATE HEALTH PLAN
4699540001OtherNCPTAN: SUPPLIER IDENTIFIER
0808VOtherNCBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070927001024 NC Part B Supplier - Clinic/Group Practice 4385739853 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC
O20100930033853 NC DME Supplier - Physician - Podiatry 4385739853 Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

1020 Red Banks Rd
Greenville, NC 27858
Phone (252) 695-6000

2460 Emerald Pl
Greenville, NC 27834
Phone (252) 695-6000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1396819447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588875",
            "telephone_number": "252-695-6000",
            "fax_number": "252-695-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588875",
            "telephone_number": "252-695-6000",
            "fax_number": "252-695-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE EAST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "RESPESS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-695-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890808V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE HEALTH PLAN",
            "identifier": "0808V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN: SUPPLIER IDENTIFIER",
            "identifier": "4699540001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0808V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.