Advanced Foot Care, LLP
Organization Active NPI Foot & Ankle Surgery Podiatrist · Chattanooga, TN
NPI 1992048938 · NPPES record last updated Dec 30, 2014
Key facts
- NPI
- 1992048938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ADVANCED FOOT CARE, LLP
- Practice address
- 3742 Tennessee Ave
Suite 108
Chattanooga, TN 37409-1215 - Phone
- (706) 861-6200
- Fax
- (706) 861-6222
- NPI assigned
- Mar 28, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED FOOT CARE, LLP
Authorized official
- Name
- Ira Henri Kraus, DPM
- Title
- Owner
- Phone
- (706) 861-6200
Other NPIs on the same Medicare enrollment 1
Practitioners 12
-
Kayla Kennedy, FNP-BC
-
Kathleen T McCarthy, MSN, NP-C
-
April Stidham, FNP
-
Christiana White Beveridge, MD/MBA
-
Tess Kates Dailey, APRN
-
Jared J Dirks, MD
-
Tobey Lyn Gilmore, FNP-C
-
Kristin Nicole Jenkins, ARNP
-
Aaron D Solomon, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319001254 | TN | Part B Supplier - Clinic/Group Practice | 5597655654 |
Receives reassigned benefits from 39 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Athens, TN; Chattanooga, TN; Cleveland, TN; Hixson, TN |
National Provider Directory
- Part of
- Advanced Foot Care LLP
Locations
3742 Tennessee Ave
Ste 108
Chattanooga, TN 37409
Phone (423) 702-6453
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
3742 Tennessee Ave
Suite 108
Chattanooga, TN 37409-1215
Mailing address
2368 Battlefield Parkway
Ft. Oglethorpe, GA 30742
Phone (706) 861-6200
NPI Registry JSON
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419897600000",
"number": "1992048938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2368 BATTLEFIELD PARKWAY",
"city": "FT. OGLETHORPE",
"state": "GA",
"postal_code": "30742",
"telephone_number": "706-861-6200",
"fax_number": "706-861-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3742 TENNESSEE AVE",
"address_2": "SUITE 108",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374091215",
"telephone_number": "706-861-6200",
"fax_number": "706-861-6222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED FOOT CARE, LLP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED FOOT CARE, LLP",
"enumeration_date": "2013-03-28",
"last_updated": "2014-12-30",
"status": "A",
"authorized_official_last_name": "KRAUS",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "HENRI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-861-6200",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
- Advanced Behavioral-Emotional Care Services, LLC.
- Advanced Center for Sleep Disorders, Inc
- Advanced Center for Sleep Disorders, Inc.
- Advanced Foot Care LLP
- Advanced Foot Care LLP
- Advanced Health Chiropractic Center PLLC
- Advanced Respiratory, Inc.
- Advanced Surgical Concepts PLLC
- Adventa Hospice, LLC
- Adventure Pediatric Dentistry, PLLC
All providers in Chattanooga, TN · Foot & Ankle Surgery Podiatrist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.