COMFORT FOOT CARE LLC (NPI# 1023252012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023252012 |
| Entity Type | Organization |
| Organization Name | COMFORT FOOT CARE LLC |
| Practice Address |
6116 Shallowford Rd Ste 118 Chattanooga TN 37421-7201 |
| Practice Telephone | 4237101224 |
| Practice Fax Number | 4237101228 |
| Mailing Telephone | 4237101224 |
| Mailing Fax Number | 4237101228 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | DR. MARIO S DICKENS (OWNER) |
| Authorized Official Telephone | 4237101224 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM0000000690 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DP2921 | 01 | |
| TN | 1514424 | 05 |
| Street Address |
6116 SHALLOWFORD RD STE 118 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902843154 | Mario S. Dickens | Podiatrist | 6116 Shallowford Rd, Ste 118, Chattanooga, TN 37421-7201 | 2006-05-31 |
| 1780135731 | Tamera Rost | Behavioral Analyst | 6116 Shallowford Rd, Suite 201, Chattanooga, TN 37421-7201 | 2016-10-14 |
| 1205113891 | Elite Behavior Analysis, LLC | Behavioral Analyst | 6116 Shallowford Rd, Suite 201, Chattanooga, TN 37421-7201 | 2011-11-09 |
| 1538313853 | Personalized Healthcare for Women LLC | Advanced Practice Midwife | 6116 Shallowford Rd, Suite 117, Chattanooga, TN 37421-7201 | 2008-11-13 |
| 1003954595 | Beverly J Jacks | Nurse Practitioner | 6116 Shallowford Rd, Suite 117, Chattanooga, TN 37421-7201 | 2007-02-05 |
| 1124059407 | Guardian Home Care, LLC | Home Health | 6116 Shallowford Rd, Suite 114, Chattanooga, TN 37421-7201 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346686151 | Katie Hoang | Podiatrist | 200 Manufacturers Rd Ste 105, Chattanooga, TN 37405-3340 | 2013-05-20 |
| 1033369293 | Ankle & Foot Center of Chattanooga | Podiatrist | 531 Signal Mountain Rd, Suite 101, Chattanooga, TN 37405-1925 | 2008-09-24 |
| 1972666766 | Advanced Foot Care LLP | Podiatrist | 4308 Brainerd Rd, Chattanooga, TN 37411-5424 | 2006-12-19 |
| 1609891530 | Lisa Wamack | Podiatrist | 721 Glenwood Dr Ste W562, Chattanooga, TN 37404-1129 | 2006-07-13 |
| 1154965051 | United Foot and Ankle LLC | Podiatrist | 5959 Shallowford Rd Ste 213, Chattanooga, TN 37421-2215 | 2019-11-04 |
| 1598004095 | Kimberly Marie Woodard | Podiatrist | 3742 Tennessee Ave Ste 108, Chattanooga, TN 37409-1222 | 2013-02-05 |
| 1730242520 | Advanced Foot Care LLP | Podiatrist | 1720 Gunbarrel Rd Ste 204, Chattanooga, TN 37421-3192 | 2006-12-19 |
| 1487747457 | Chattanooga Foot Specialists, Pllc | Podiatrist | 721 Glenwood Dr Ste W562, Chattanooga, TN 37404-1129 | 2006-10-02 |
| 1811912751 | Claude Jason Wamack | Podiatrist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on COMFORT FOOT CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.