Northwest Tennessee Foot Clinic, PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0000000658 Issued in TN

Legal business name

NORTHWEST TENNESSEE FOOT CLINIC, PLLC

Practice address

600 US Highway 51 Byp E
Dyersburg, TN 38024-2079

Phone

(731) 287-3130

Fax

(731) 287-3818

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth T Lu, D.P.MNPI 1568496172

Title

Owner/President

Phone

(731) 287-3130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Elizabeth T Lu, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dyersburg, TN
  • NPI 1568496172

  O20100930083574

  Same enrollment

Practitioners 1

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

• Elizabeth T Lu, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dyersburg, TN
  • NPI 1568496172
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1598065310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242079",
            "telephone_number": "731-287-3130",
            "fax_number": "731-287-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242079",
            "telephone_number": "731-287-3130",
            "fax_number": "731-287-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TENNESSEE FOOT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "731-287-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "0000000658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Foot Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.