Individual provider Active NPI

Timothy A Webb, DPM

  • Podiatrist
  • Prestonsburg, KY
National Provider Identifier
1528072980
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00186 Issued in KY
Practice address
5230 Ky RT 321
Ste 1
Prestonsburg, KY 41653
Phone
(606) 889-0095
Fax
(606) 889-0080
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00186 KY Primary

Addresses

Primary practice location

5230 Ky RT 321
Ste 1
Prestonsburg, KY 41653

Mailing address

5230 Ky RT 321, Ste 1
Prestonsburg, KY 41653
Phone (606) 889-0095

Other identifiers 1

IdentifierTypeStateIssuer
80001860MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000330 KY Practitioner - Podiatry 5193762946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle AssociatesGroup PAC ID 4385681139, 2 clinicians

Practice addresses (Care Compare)

5230 Ky Route 321
Suite 1
Prestonsburg, KY 41653-9169
Phone (606) 889-0095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue60
Removal of skin lesions34
Removal of nail tissue511
Removal or shaving of skin growth54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00186KYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates Current Accepting new patients

Locations

5230 Ky Route 321
Ste 1
Prestonsburg, KY 41653
Phone (606) 889-0095

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1528072980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 KY RT 321, STE 1",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-889-0095",
            "fax_number": "606-889-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 KY RT 321",
            "address_2": "STE 1",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-889-0095",
            "fax_number": "606-889-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.