East Tennessee Podiatry Associates PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

EAST TENNESSEE PODIATRY ASSOCIATES PLLC

Doing business as

Frontier Foot & Ankle Specialists

Practice address

1 Sheridan SQ Ste 102
Kingsport, TN 37660-7398

Phone

(423) 722-5200

NPI assigned

Apr 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann Wolford, DPMNPI 1093085367

Title

Owner

Phone

(423) 722-5200

Specialties & licenses 1

Addresses

Other names 1

• Frontier Foot & Ankle Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Ann Wolford, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kingsport, TN
  • NPI 1093085367
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Willis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kingsport, TN
  • NPI 1780032706
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1669054318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHERIDAN SQ STE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607398",
            "telephone_number": "423-722-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERIDAN SQ STE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607398",
            "telephone_number": "423-722-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE PODIATRY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "WOLFORD",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-722-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frontier Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Dyck, MSRD
• Alison M Dyer, LPC/ MHSP
• Thomas Isaac Dykes, DPT
• East Tennessee Anesthesia Providers, PC
• East Tennessee Mind & Wellness, PLLC
• Wesley V Eastridge, MD
• Eric A. Echard, D.D.S
• Edward B Steffner (Atrium Medical)
• John Albert Ehrenfried, M.D.
• Rob P Ehret, CRNA

• Foot & Ankle Surgery Podiatrist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.