South Baldwin Podiatry, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

244 Issued in AL

Legal business name

SOUTH BALDWIN PODIATRY, P.C.

Practice address

1770 N Alston St
Foley, AL 36535-2274

Phone

(251) 943-3668

Fax

(251) 943-3314

NPI assigned

Jun 19, 2006

Last updated

Aug 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keri Kraft

Title

Office Manager

Phone

(251) 943-3668

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

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.

• Debra M. Gibson, DPM

  • Podiatrist
  • Foley, AL
  • NPI 1588636260
  Medicare reassignment NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1922043140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N ALSTON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352274",
            "telephone_number": "251-943-3668",
            "fax_number": "251-943-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N ALSTON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352274",
            "telephone_number": "251-943-3668",
            "fax_number": "251-943-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BALDWIN PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-943-3668"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "244",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908470",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Baldwin Diagnostic Imagine Associates, P.C.
• South Baldwin Family Practice LLC
• South Baldwin Obstetrics & Gynecology, P.C.
• South Baldwin Open MRI, LLC
• South Baldwin Pediatrics
• Southern Orthopaedic Alliance PLLC
• Speak Life Speech Therapy
• James William Stanley
• Valerie Catherine Staples, DO
• Veronica Statham

• Podiatrist in Foley, AL
• Providers in Foley, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.