Organization Active NPI

Foothills Podiatry PA

  • Podiatrist
  • Shelby, NC
National Provider Identifier
1689673360
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
102 Issued in NC
Legal business name
FOOTHILLS PODIATRY PA
Practice address
707 N Morgan St
Shelby, NC 28150-3840
Phone
(704) 487-6672
NPI assigned
Jul 15, 2005
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dr. Charles J. Mauney, DPMNPI 1700884558
Title
Pres
Phone
(704) 487-6672

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 102 NC Primary

Addresses

Primary practice location

707 N Morgan St
Shelby, NC 28150-3840

Mailing address

707 N Morgan St
Shelby, NC 28150-3840
Phone (704) 487-6672

Other identifiers 2

IdentifierTypeStateIssuer
890808HMedicaidNC
0808HOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100624000964 NC Part B Supplier - Clinic/Group Practice 9830220599 Receives reassigned benefits from 4 practitioners
Practice locations: Shelby, NC
O20100930006280 NC DME Supplier - Physician - Podiatry 9830220599 Practice locations: Shelby, NC

National Provider Directory

National Provider Directory

Locations

106 Edgemont Dr
Kings Mountain, NC 28086

707 N Morgan St
Shelby, NC 28150
Phone (704) 487-6672

Interoperability endpoints

  • Direct secure messaging: charlesmauney@foothlspod.allscriptsdirect.net
  • Direct secure messaging: gretchenlawrence@foothlspod.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010710
  • Direct secure messaging: ronaldmaskarinec@foothlspod.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1689673360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503840",
            "telephone_number": "704-487-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503840",
            "telephone_number": "704-487-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "MAUNEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "704-487-6672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890808H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0808H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.