Organization Active NPI

Foot and Ankle of the Carolinas PLLC

  • Public Medicine Podiatrist
  • Matthews, NC
National Provider Identifier
1699863027
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Medicine PodiatristTaxonomy code 213EP0504X
License
259 Issued in OH
Legal business name
FOOT AND ANKLE OF THE CAROLINAS PLLC
Practice address
2950 Senna Dr
Matthews, NC 28105-6722
Phone
(704) 845-2920
Fax
(704) 845-2921
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Eric V Ward, DPMNPI 1154332815
Title
Manager
Phone
(704) 845-2920

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
Public Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP0504X 259 OH Primary

Addresses

Primary practice location

2950 Senna Dr
Matthews, NC 28105-6722

Mailing address

2950 Senna Dr
Matthews, NC 28105-6722
Phone (704) 845-2920

Other identifiers 4

IdentifierTypeStateIssuer
89012J7MedicaidNC
012J7OtherNCBCBS GROUP
340515OtherNCMAMSI
463679OtherNCANTHEM

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1699863027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056722",
            "telephone_number": "704-845-2920",
            "fax_number": "704-845-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056722",
            "telephone_number": "704-845-2920",
            "fax_number": "704-845-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE OF THE CAROLINAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-845-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": "OH",
            "license": "259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012J7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "012J7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "340515",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "463679",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.