SLF Podiatry, PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

481 Issued in NC

Legal business name

SLF PODIATRY, PLLC

Practice address

1613 St. Andrews Dr.
Mebane, NC 27302-7116

Phone

(336) 213-3910

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stacy L. Fowler, DPM

Title

Owner/Sole Member

Phone

(336) 213-3910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1720247539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 ST. ANDREWS DR.",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027116",
            "telephone_number": "336-213-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 ST. ANDREWS DR.",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027116",
            "telephone_number": "336-213-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLF PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "336-213-3910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.