Smoky Mountain Foot Clinic PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

301 Issued in NC

Legal business name

SMOKY MOUNTAIN FOOT CLINIC PA

Practice address

9 Drew Taylor Rd
Murphy, NC 28906-6870

Phone

(828) 835-8389

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

William D Banks, DPMNPI 1417943887

Title

Ceo

Phone

(828) 452-4343

Specialties & licenses 10

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Smoky Mountain Foot Clinic PA

  • Podiatrist
  • Sylva, NC
  • NPI 1114002813

  O20070124000025

  Same enrollment
• Smoky Mountain Foot Clinic PA

  • Podiatrist
  • Asheville, NC
  • NPI 1205911906

  O20070124000025

  Same enrollment
• Smoky Mountain Foot Clinic PA

  • Podiatrist
  • Waynesville, NC
  • NPI 1447355755

  O20070124000025

  Same enrollment
• Smoky Mountain Foot Clinic PA

  • Podiatrist
  • Franklin, NC
  • NPI 1629168968

  O20070124000025

  Same enrollment

Practitioners 5

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

• William D Banks, DPM

  • Podiatrist
  • Waynesville, NC
  • NPI 1417943887
  NPD (past) Authorized official
• Moiz Khalid, DPM

  • Foot & Ankle Surgery Podiatrist
  • Trenton, MI
  • NPI 1881263374
  NPD
• Robert T Delbene, DPM

  • Podiatrist
  • Waynesville, NC
  • NPI 1023004447
  NPD (past)
• Lloyd S Hale, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bryson City, NC
  • NPI 1619963048
  NPD (past)
• Robert M Przynosch, DPM

  • Podiatrist
  • Waynesville, NC
  • NPI 1568439073
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1821173527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287210278",
            "telephone_number": "828-452-4343",
            "fax_number": "828-452-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DREW TAYLOR RD",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066870",
            "telephone_number": "828-835-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN FOOT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-452-4343",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "301",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "346",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "469",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "563",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "547",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "469",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "301",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "346",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "563",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0806B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0801K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0808P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911408",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0800A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890801K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Montez Sistrunk, NP
• Amanda Skirvin, PHARMD
• Melissa Ann Slack, PMHNP-BC
• James Mann Smith, PT
• Sharon Patrice Smith, P.T.
• Sophisticated Lady Boutique
• Southern Smokies Radiology
• Alyssa Marie Sparks, PHARMD
• Edith Jean Spence, D.C.
• Amy Spindler, MA, BCBA, LBA

• Podiatrist in Murphy, NC
• Providers in Murphy, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.