Active NPI
Wayne Foot Specialists PC
- Podiatrist
- Goldsboro, NC
National Provider Identifier
1689706905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 221
- Legal business name
- WAYNE FOOT SPECIALISTS PC
- Practice address
- 207 Lee Street
Goldsboro, NC 27530-3821 - Phone
- (919) 734-8007
- Fax
- (919) 736-4048
- NPI assigned
- Mar 12, 2007
- Last updated
- Oct 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Lind Hall, DPM
- Title
- Owner
- Phone
- (919) 734-8007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 221 | NC | Primary |
Addresses
Primary practice location
207 Lee Street
Goldsboro, NC 27530-3821
Mailing address
207 Lee Street
Goldsboro, NC 27530-3821
Phone (919) 734-8007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08067 | Other | NC | BLUE CROSS OF NC |
| 8908067 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
207 Lee St
Goldsboro, NC 27530
Phone (919) 734-8007
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.
-
- Podiatrist
- Goldsboro, NC
- NPI 1528141850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225411200000",
"number": "1689706905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 LEE STREET",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275303821",
"telephone_number": "919-734-8007",
"fax_number": "919-736-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 LEE STREET",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275303821",
"telephone_number": "919-734-8007",
"fax_number": "919-736-4048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE FOOT SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2008-10-31",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "LIND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-734-8007",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NC",
"license": "221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NC",
"identifier": "08067",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908067",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
- Wayne County Health Department
- Wayne County Health Department
- Wayne County Schools
- Wayne Dermatology and Cosmetic Surgery PA
- Wayne Family Medical Center, Inc.
- Wayne Health Family Medicine LLC
- Wayne Health Foundation (Watch)
- Wayne Health Medical Clinic, LLC
- Wayne Health Physicians (Wayne Health Psychiatric Services)
- Wayne Health Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.