Gaston Foot & Ankle Associates P a

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GASTON FOOT & ANKLE ASSOCIATES P A

Practice address

251 Wilmot Dr
Gastonia, NC 28054-4048

Phone

(704) 861-0425

Fax

(704) 861-0274

NPI assigned

Sep 12, 2005

Last updated

May 18, 2010By 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

Dr. David Russell Kirlin, DPMNPI 1265427710

Title

President

Phone

(704) 861-0425

Specialties & licenses 1

Addresses

Other identifiers 6

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.

• David Russell Kirlin I, DPM

  • Podiatrist
  • Gastonia, NC
  • NPI 1265427710
  Authorized official Same address or phone

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1932194487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WILMOT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544048",
            "telephone_number": "704-861-0425",
            "fax_number": "704-861-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WILMOT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544048",
            "telephone_number": "704-861-0425",
            "fax_number": "704-861-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON FOOT & ANKLE ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "KIRLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-861-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH/COVENTRY",
            "identifier": "13835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2058521",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PDN999",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "060A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900160A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNES",
            "identifier": "102463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gaston Family Medicine, P. a.
• Gaston Family Practice PLLC
• Gaston Gastroenterology, PA
• Gaston Hematology & Oncology Associates, PC
• Gaston Home Medical
• Gaston Hospice
• Gaston Lincoln Cleveland Mhddsa Progam (Pathways)

• Podiatrist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Podiatrist in North Carolina

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