Eastover Foot & Ankle PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

200001392347 Issued in NC

Legal business name

EASTOVER FOOT & ANKLE PA

Practice address

428 N. Trade Street
Suite 100
Matthews, NC 28105-5017

Phone

(704) 841-4000

Fax

(704) 841-4338

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Ronald Victor Futerman, DPM

Title

President

Phone

(704) 841-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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

• Andrew C Adler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Matthews, NC
  • NPI 1154813194
  Medicare reassignment Care Compare group NPD
• Christopher R Fuesy, DPM

  • Primary Podiatric Medicine Podiatrist
  • Matthews, NC
  • NPI 1861445603

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Taimur Muhammad Hasan

  • Podiatrist
  • Matthews, NC
  • NPI 1720728710
  Medicare reassignment Care Compare group NPD
• Sarepta Isaac, DPM

  • Podiatrist
  • Matthews, NC
  • NPI 1316387038
  Medicare reassignment Care Compare group NPD
• Bryan Joseph Williams, D.P.M.

  • Podiatrist
  • Matthews, NC
  • NPI 1508215179
  Medicare reassignment NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1932297264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281061539",
            "telephone_number": "704-841-4000",
            "fax_number": "704-841-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 N. TRADE STREET",
            "address_2": "SUITE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055017",
            "telephone_number": "704-841-4000",
            "fax_number": "704-841-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTOVER FOOT & ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "FUTERMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-841-4000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "200001392347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0172M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890172M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Eaglen, OT
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• Taneha Eason
• Meghan Erin Easterday, LCMHC-A
• Michelle Easterly, PT
• Lori Blanchard Eaton, NP-C
• Eckerd Corporation
• Eckerd Corporation
• Eckerd Corporation
• Demi Lane Eckhoff, RDN

• Foot & Ankle Surgery Podiatrist in Matthews, NC
• Providers in Matthews, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.