Organization Active NPI

Wayne Foot Specialists PC

  • Podiatrist
  • Goldsboro, NC
National Provider Identifier
1689706905
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
221 Issued in NC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Jenny Lind Hall, DPMNPI 1528141850
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
08067OtherNCBLUE CROSS OF NC
8908067MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.