NPIMap

Organization Active NPI

Advanced Arthroscopic Foot & Ankle Associates, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Boardman, OH
National Provider Identifier
1659638104
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 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
Last updated
May 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Dr. James Edwin Prommersberger Jr., D.P.M.NPI 1073584686
Title
Onwer
Phone
(330) 726-3348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36-00-2619 OH
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

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

National Provider Directory

National Provider Directory

Locations

940 Windham Ct
Ste 3
Youngstown, OH 44512
Phone (216) 726-3348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1659638104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WINDHAM CT",
            "address_2": "SUITE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125060",
            "telephone_number": "330-726-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WINDHAM CT",
            "address_2": "SUITE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125060",
            "telephone_number": "330-726-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ARTHROSCOPIC FOOT & ANKLE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "PROMMERSBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "330-726-3348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-2619",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.