Active NPI
Ankle & Foot Associates
- Foot & Ankle Surgery Podiatrist
- Winthrop, MA
National Provider Identifier
1902080880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1786
- Legal business name
- ANKLE & FOOT ASSOCIATES
- Practice address
- 2 Chamberlain Ave Unit 2
Winthrop, MA 02152-1021 - Phone
- (617) 846-2609
- NPI assigned
- Dec 27, 2007
- Last updated
- May 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andre Garland
- Title
- Office MGR
- Phone
- (617) 846-2609
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1786 | MA | Primary |
Addresses
Primary practice location
2 Chamberlain Ave Unit 2
Winthrop, MA 02152-1021
Mailing address
2 Chamberlaine Ave
Unit 2
Winthrop, MA 02152-1011
Phone (617) 846-2609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930048397 | MA | DME Supplier - Physician - Podiatry | 6305048463 | Practice locations: Winthrop, MA |
National Provider Directory
National Provider DirectoryLocations
50 Crest Ave
#52
Winthrop, MA 02152
Phone (617) 846-2609
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHFEAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367798400000",
"number": "1902080880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CHAMBERLAINE AVE",
"address_2": "UNIT 2",
"city": "WINTHROP",
"state": "MA",
"postal_code": "021521011",
"telephone_number": "617-846-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHAMBERLAIN AVE UNIT 2",
"city": "WINTHROP",
"state": "MA",
"postal_code": "021521021",
"telephone_number": "617-846-2609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANKLE & FOOT ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2013-05-06",
"status": "A",
"authorized_official_last_name": "GARLAND",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "617-846-2609",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "1786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winthrop, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.