Etowah Foot Specialists, Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

ETOWAH FOOT SPECIALISTS, INC.

Practice address

230 S 4TH St
Gadsden, AL 35901-4214

Phone

(256) 549-7890

Fax

(256) 549-7891

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Marie Deaton, D.P.M.NPI 1629134861

Title

President

Phone

(256) 549-7890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Shannon M Deaton, DPM

  • Foot Surgery Podiatrist
  • Gadsden, AL
  • NPI 1629134861
  Medicare reassignment Care Compare group NPD Authorized official
• Michael D Chmielewski, DPM

  • Foot Surgery Podiatrist
  • Gadsden, AL
  • NPI 1457417693
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1861615239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014214",
            "telephone_number": "256-549-7890",
            "fax_number": "256-549-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014214",
            "telephone_number": "256-549-7890",
            "fax_number": "256-549-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETOWAH FOOT SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-549-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etowah County Health Dept Prev Health Ed
• Etowah County Health Dept Pri Care
• Etowah County Health Dept STD
• Etowah County Health Dept VFC Immun
• Etowah Ear Nose & Throat, LLC
• Etowah Gastroenterology Associates PC
• Jason Faile, LPTA
• Steven Mark Fain
• Jeffrey Barnett Fairchild, D.M.D.
• Kristi Kell Falco, CRNA

• Foot Surgery Podiatrist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Foot Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.