Allied Ankle & Footcare Centers PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000418 Issued in GA

Legal business name

ALLIED ANKLE & FOOTCARE CENTERS PC

Practice address

15 Hurricane Shoals Rd NE
Suite B
Lawrenceville, GA 30046-4454

Phone

(770) 277-7373

Fax

(770) 277-1755

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

James Louis Bouchard, DPM

Title

Medical Director

Phone

(770) 255-0420

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1821263963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491658",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490028",
            "telephone_number": "770-255-0420",
            "fax_number": "770-255-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HURRICANE SHOALS RD NE",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464454",
            "telephone_number": "770-277-7373",
            "fax_number": "770-277-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED ANKLE & FOOTCARE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-255-0420",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP446",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Elizabeth Allen, CCC-SLP
• Brandi Allgood, RN
• Alliance Health Care Inc
• Alliance Home Care Servies LLC
• Allied Ankle & Foot Care Centers PC
• Jennifer Allison, O.T.
• Malnie Ally, NP
• Saudia Ally, PHARMD
• Amy Almas
• Kimberly Diane Almond, B.S

• Foot & Ankle Surgery Podiatrist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.