Derby City Foot Doctors PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

00296 Issued in KY

Legal business name

DERBY CITY FOOT DOCTORS PLLC

Practice address

9900 Shelbyville Rd Ste 11a
Louisville, KY 40223-2965

Phone

(502) 899-9771

Fax

(502) 899-9772

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Miss Rhonda Ann Eichenberger, DPM

Title

Owner/Manager

Phone

(502) 899-9771

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508065608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SHELBYVILLE RD STE 11A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232965",
            "telephone_number": "502-899-9771",
            "fax_number": "502-899-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SHELBYVILLE RD STE 11A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232965",
            "telephone_number": "502-899-9771",
            "fax_number": "502-899-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBY CITY FOOT DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EICHENBERGER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "502-899-9771",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000581",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Barrett Deppe, M.D.
• Brian A Deprest, M.D.
• Alexandra Joe Depriest, RD, LD
• Amber Zimmer Deptola, MD
• Anthony Deras
• Derby City Hearing, Inc.
• Derby City Medical Partners, LLC
• Derby City Pediatric Dentistry, PLLC
• Derby City Rehab
• Derby City Taxicab LLC

• Foot & Ankle Surgery Podiatrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.