Advanced Arthroscopic Foot & Ankle Associates, Inc.
Organization Active NPI Foot & Ankle Surgery Podiatrist · Boardman, OH
NPI 1659638104 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1659638104
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ADVANCED ARTHROSCOPIC FOOT & ANKLE ASSOCIATES, INC.
- Practice address
- 940 Windham CT
Suite 3
Boardman, OH 44512-5060 - Phone
- (330) 726-3348
- NPI assigned
- Apr 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. James Edwin Prommersberger Jr., D.P.M.
- Title
- Onwer
- Phone
- (330) 726-3348
Practitioners 1
National Provider Directory
Locations
940 Windham Ct
Ste 3
Youngstown, OH 44512
Phone (216) 782-3371
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 36-00-2619 | OH | |
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
940 Windham CT
Suite 3
Boardman, OH 44512-5060
Mailing address
940 Windham CT
Suite 3
Boardman, OH 44512-5060
Phone (330) 726-3348
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All providers in Boardman, OH · Foot & Ankle Surgery Podiatrist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.