NPIMap

Organization Active NPI

CCMH Corporation

Doing business as CCMH Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Carrollton, KY
National Provider Identifier
1821871575
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CCMH CORPORATION
Doing business as
CCMH Foot and Ankle Center
Practice address
309 11TH St
Carrollton, KY 41008-1435
Phone
(502) 732-3204
Fax
(502) 732-3213
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CCMH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Sheila Tomlinson
Title
Director of Clinical Services
Phone
(502) 732-3243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

309 11TH St
Carrollton, KY 41008-1435

Mailing address

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-3243

Other names 1

  • CCMH FOOT AND ANKLE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CCMH Corporation9 organizations share this tax ID, including this one
Part of
CCMH Corporation

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1821871575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3243",
            "fax_number": "502-732-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3204",
            "fax_number": "502-732-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCMH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCMH CORPORATION",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "502-732-3243"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCMH FOOT AND ANKLE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.