Organization Active NPI

Foot and Heel Pain Clinic, LLC

  • Foot Surgery Podiatrist
  • Hardeeville, SC
National Provider Identifier
1508226580
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
FOOT AND HEEL PAIN CLINIC, LLC
Practice address
551 Old Charleston Hwy
Hardeeville, SC 29927-3716
Phone
(912) 999-7157
NPI assigned
Mar 3, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Dr. Heather Driessen, DPM
Title
President
Phone
(912) 999-7157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

551 Old Charleston Hwy
Hardeeville, SC 29927-3716

Mailing address

551 Old Charleston Hwy
Hardeeville, SC 29927

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1508226580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 OLD CHARLESTON HWY",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "29927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 OLD CHARLESTON HWY",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273716",
            "telephone_number": "912-999-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND HEEL PAIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "DRIESSEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-999-7157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.