Organization Active NPI

South Coast Foot and Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Ocean Isle Beach, NC
National Provider Identifier
1720356942
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOUTH COAST FOOT AND ANKLE INC
Practice address
25 Union School Rd NW
Suite 1
Ocean Isle Beach, NC 28469-7307
Phone
(910) 579-0828
Fax
(910) 579-5463
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Dr. Rose S Southerland, DPM
Title
Owner
Phone
(910) 579-0828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

25 Union School Rd NW
Suite 1
Ocean Isle Beach, NC 28469-7307

Mailing address

25 Union School Rd NW
Suite 1
Ocean Isle Beach, NC 28469-7307
Phone (910) 579-0828

National Provider Directory

National Provider Directory

Locations

25 Union School Rd NW
Ste 1
Shallotte, NC 28469
Phone (910) 579-0828

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": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1720356942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 UNION SCHOOL RD NW",
            "address_2": "SUITE 1",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284697307",
            "telephone_number": "910-579-0828",
            "fax_number": "910-579-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 UNION SCHOOL RD NW",
            "address_2": "SUITE 1",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284697307",
            "telephone_number": "910-579-0828",
            "fax_number": "910-579-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-579-0828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Isle Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.