Organization Active NPI

Tennessee Valley Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, TN
National Provider Identifier
1861683351
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM0000000480 Issued in TN
Legal business name
TENNESSEE VALLEY FOOT AND ANKLE CENTER
Practice address
3000 Westside Dr NW
Cleveland, TN 37312-3542
Phone
(423) 559-8000
Fax
(423) 559-8017
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Jonathon Lee Strickler, DPMNPI 1821190307
Title
Podiatrist/Owner
Phone
(423) 559-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DPM0000000480 TN Primary

Addresses

Primary practice location

3000 Westside Dr NW
Cleveland, TN 37312-3542

Mailing address

709 Candlewood TRL
Chattanooga, TN 37421-2064
Phone (423) 559-8000

Other identifiers 5

IdentifierTypeStateIssuer
4033978OtherTNBCBS
3353543MedicaidTN
035007OtherGABCBS
000959857AMedicaidGA
CK8464OtherGAMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040614001117 GA Part B Supplier - Clinic/Group Practice 5193709616 Receives reassigned benefits from 1 practitioner
Practice locations: Ringgold, GA
O20040707001488 TN Part B Supplier - Clinic/Group Practice 5193709616 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, TN
O20100930030477 TN DME Supplier - Physician - Podiatry 5193709616 Practice locations: Cleveland, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
TN Valley Foot and Ankle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

134 Battlefield Crossing Ct
#C
Ringgold, GA 30736
Phone (706) 858-0766

3000 Westside Dr NW
Cleveland, TN 37312
Phone (423) 559-8000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1861683351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CANDLEWOOD TRL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212064",
            "telephone_number": "423-559-8000",
            "fax_number": "423-550-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESTSIDE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123542",
            "telephone_number": "423-559-8000",
            "fax_number": "423-559-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "STRICKLER",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "423-559-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM0000000480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4033978",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353543",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "035007",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000959857A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CK8464",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.