Active NPI
Maysville Foot & Ankle Clinic
- Durable Medical Equipment & Medical Supplies
- Maysville, KY
National Provider Identifier
1407921695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MAYSVILLE FOOT & ANKLE CLINIC
- Practice address
- 2011 Old Main St
Maysville, KY 41056 - Phone
- (606) 759-5686
- Fax
- (606) 759-0368
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc D Pawsat, DPM
- Title
- President
- Phone
- (606) 759-5686
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2011 Old Main St
Maysville, KY 41056
Mailing address
2011 Old Main St
Maysville, KY 41056
Phone (606) 759-5686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80002132 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Marc D Pawsat DPM
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Maysville, KY
- NPI 1285713370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Maysville, KY
- NPI 1538241989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1407921695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 OLD MAIN ST",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "41056",
"telephone_number": "606-759-5686",
"fax_number": "606-759-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 OLD MAIN ST",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "41056",
"telephone_number": "606-759-5686",
"fax_number": "606-759-0368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYSVILLE FOOT & ANKLE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "PAWSAT",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-759-5686",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80002132",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, KY
- Mary Elizabeth Mayhall
- Melinda Galliher Mays, LPCC
- Maysville Diagnostic Center LLC
- Maysville Diagnostic Center Sleep Lab
- Maysville Foot & Ankle Clinic
- Maysville Internal Medicine Pediatric Assoc PSC
- Maysville Manor LLC
- Maysville Medical, LLC
- Maysville Obstetric & Gynecologic Associates PSC
- Maysville Operations, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.