NPIMap

Organization Active NPI

Foot and Ankle Center of Durham, PC

  • Podiatrist
  • Durham, NC
National Provider Identifier
1902938152
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
136 Issued in NC
Legal business name
FOOT AND ANKLE CENTER OF DURHAM, PC
Practice address
3811 North Roxboro Road
Suite a
Durham, NC 27704-5800
Phone
(919) 471-1002
Fax
(919) 471-2638
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Eric Simmons, DPM
Title
President
Phone
(919) 471-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 136 NC Primary

Addresses

Primary practice location

3811 North Roxboro Road
Suite a
Durham, NC 27704-5800

Mailing address

3811 North Roxboro Road
Suite a
Durham, NC 27704-5800
Phone (919) 471-1002

Other identifiers 4

IdentifierTypeStateIssuer
890278FMedicaidNC
0278FOtherBCBS GROUP
3990735OtherCIGNA IND
8908029MedicaidNC

Other names 1

  • Dr Rhonda S Cohen Podiatry Associates, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

3811 N Roxboro St
Ste A
Durham, NC 27704
Phone (919) 471-1002

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1902938152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 NORTH ROXBORO ROAD",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045800",
            "telephone_number": "919-471-1002",
            "fax_number": "919-471-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 NORTH ROXBORO ROAD",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045800",
            "telephone_number": "919-471-1002",
            "fax_number": "919-471-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF DURHAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-471-1002",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890278F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0278F",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA IND",
            "identifier": "3990735",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908029",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Rhonda S Cohen Podiatry Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.