Northern Kentucky Foot Specialists, PSC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NORTHERN KENTUCKY FOOT SPECIALISTS, PSC

Practice address

1125 Boone Aire Rd
Florence, KY 41042-1201

Phone

(859) 371-4020

Fax

(859) 746-7464

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

William M Nielson, DPM

Title

President

Phone

(859) 746-7461

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick J Ginney, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florence, KY
  • NPI 1417956095
  NPD (past)
• Gregory A Worley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
  • NPI 1356340939
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1760404271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410050389",
            "telephone_number": "859-746-7461",
            "fax_number": "859-746-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BOONE AIRE RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421201",
            "telephone_number": "859-371-4020",
            "fax_number": "859-746-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY FOOT SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-746-7461",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90040080",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90011651",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90160599",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Kentucky Consumer Directed Option Program
• Northern Kentucky Consumer Directed Options Program
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Health Department
• Northern Kentucky Home Care, LLC
• Northern Kentucky Independent Disitrict Health Department
• Northern Kentucky Independent District Health Department
• Northern Kentucky Independent District Health Department

• All providers in Florence, KY
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.