Island Foot and Ankle Surgery

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ISLAND FOOT AND ANKLE SURGERY

Practice address

35 Bill Fries Dr BLDG L
Hilton Head, SC 29926-2797

Phone

(248) 212-7678

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey Y Yung, DPMNPI 1821037037

Title

Owner

Phone

(248) 212-7678

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Jeffrey Y Yung, D.P.M.

  • Podiatrist
  • Hilton Head Island, SC
  • NPI 1821037037
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin D Overley Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hilton Head Island, SC
  • NPI 1164450946
  Medicare reassignment Care Compare group NPD
• Michael P Mayes, M.D.

  • Internal Medicine Physician
  • Hilton Head, SC
  • NPI 1275627077
  NPD (past)
• Jacqueline Nicole Woodcock, PA-C

  • Physician Assistant
  • Durham, NC
  • NPI 1326399809
  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1952981656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR BLDG L",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262797",
            "telephone_number": "843-895-2140",
            "fax_number": "843-895-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR BLDG L",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262797",
            "telephone_number": "248-212-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND FOOT AND ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-08-23",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "YUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-212-7678",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821037037",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Dermatology of Hilton Head, LLC (Dermatology Associates of the Lowcountry)
• Integrative Pain Relief
• Intelligenetics, LLC
• Iselectmd LLC
• Island Family Medicine, LLC
• Island Respiratory Care Inc
• Dennis Richard Ittenbach, PT, MS
• Michele Iverson I
• Feerozeh Dawn Jahanshahi, M.D.
• Jeffrey Wachtel, DDS, LLC

• Foot & Ankle Surgery Podiatrist in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.