Middle Tennessee Foot Associates P C

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

246 Issued in TN

Legal business name

MIDDLE TENNESSEE FOOT ASSOCIATES P C

Practice address

108 N Spring St
Manchester, TN 37355-1563

Phone

(931) 728-3988

Fax

(931) 728-6530

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark B Superstein, D.P.M.

Title

President

Phone

(931) 728-3988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric B Bouldin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Manchester, TN
  • NPI 1316232382
  Medicare reassignment NPD
• Cristi Lee Bouldin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manchester, TN
  • NPI 1649403080
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1437306198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SPRING ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551563",
            "telephone_number": "931-728-3988",
            "fax_number": "931-728-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SPRING ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551563",
            "telephone_number": "931-728-3988",
            "fax_number": "931-728-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE FOOT ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "SUPERSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-728-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Stat EMS, LLC
• Medical Associates Development LLC
• Paige Forrester Merwin, PHARM. D.
• Michael C Good MD PLLC
• Michael Reynolds Counseling & Consulting PLLC
• Middle Tennessee Radiology Associates PC
• Middle Tennessee Surgical Associates, PLLC
• Jesse Lauren Miller, LMSW
• Marshall S. Millman, MD, PHD
• Maggie Keele Millraney, CCC-SLP

• Foot & Ankle Surgery Podiatrist in Manchester, TN
• Providers in Manchester, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.