Organization Active NPI

Alex City Foot Specialties, LLC

  • Foot Surgery Podiatrist
  • Alexander City, AL
National Provider Identifier
1669755542
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
163 Issued in AL
Legal business name
ALEX CITY FOOT SPECIALTIES, LLC
Practice address
1649 Highway 22 W Ste 1
Alexander City, AL 35010-4415
Phone
(256) 215-5596
Fax
(256) 215-5551
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Douglas D Stewart, DPMNPI 1497819536
Title
Owner
Phone
(256) 215-5596

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 163 AL Primary

Addresses

Primary practice location

1649 Highway 22 W Ste 1
Alexander City, AL 35010-4415

Mailing address

1649 Highway 22 W Ste 1
Alexander City, AL 35010-4415
Phone (256) 215-5596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110927000157 AL Part B Supplier - Clinic/Group Practice 6800067711 Receives reassigned benefits from 1 practitioner
Practice locations: Alexander City, AL; Ashland, AL
O20120531000399 AL DME Supplier - Physician - Podiatry 6800067711 Practice locations: Alexander City, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1669755542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 HIGHWAY 22 W STE 1",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104415",
            "telephone_number": "256-215-5596",
            "fax_number": "256-215-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 HIGHWAY 22 W STE 1",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104415",
            "telephone_number": "256-215-5596",
            "fax_number": "256-215-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX CITY FOOT SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-215-5596",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.