Physician Footcare Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHYSICIAN FOOTCARE SURGERY CENTER

Practice address

709 W Evans St
Florence, SC 29501-3411

Phone

(843) 665-4567

Fax

(843) 665-4448

NPI assigned

Sep 14, 2023

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin L. Ray, DPM, JDNPI 1194752253

Title

Ceo

Phone

(803) 531-2888

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Kevin L. Ray, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orangeburg, SC
  • NPI 1194752253
  Authorized official Same address or phone
• Jessica Fink, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florence, SC
  • NPI 1619350162
  NPD
• Christopher Tyree, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florence, SC
  • NPI 1245610062
  NPD (past)

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1750168563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156648",
            "telephone_number": "803-531-2888",
            "fax_number": "803-531-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013411",
            "telephone_number": "843-665-4567",
            "fax_number": "843-665-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN FOOTCARE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-531-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, JD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Phillips, MD
• Tiffany Anderson Phillips
• Michele Gibbs Phipps, MD
• Noel L Phipps, MD
• Anida Lisa Phommatha
• Physicians Preferred Monitoring, LLC
• Physicians Surgery Center of Florence LLC (Physicians Surgery Center of Florence)
• Mitchell Piacsek, DDS
• Maria Fe M Piansay, PT
• Carmen Michael Piccolo III, D.O.

• Ambulatory Surgical Clinic/Center in Florence, SC
• Providers in Florence, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.