INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC (NPI# 1114469186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114469186 |
| Entity Type | Organization |
| Organization Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| Practice Address |
2236 E Highway 76 Suite B Marion SC 29571-6353 |
| Mailing Address |
1022 Lee Ann Dr Ne Concord NC 28025-2911 |
| Practice Telephone | 8434338174 |
| Practice Fax Number | 8434338209 |
| Mailing Telephone | 7047864482 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | KEVIN C MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 7047864482 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC | Podiatric Medicine & Surgery Service Providers | |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC | Podiatric Medicine & Surgery Service Providers | |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| 1750813978 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 134 Memory Plz, Whiteville, NC 28472-2640 | 2017-03-28 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
| 1942697701 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 40 Autumn Fern Trl # Us401, Lillington, NC 27546-5155 | 2015-04-20 |
| 1710381777 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 9216 Ardrey Kell Rd Ste 100, Charlotte, NC 28277-4954 | 2014-10-20 |
| 1134466113 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 710 Brookdale Dr, Statesville, NC 28677-3406 | 2013-01-10 |
| 1134463060 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 2607 East Seventh St., Suite 100, Charlotte, NC 28204-4308 | 2012-11-15 |
| 1396099511 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 12610 N Community House Rd Ste 202, Charlotte, NC 28277-3838 | 2012-11-09 |
| Street Address |
2236 E HIGHWAY 76 SUITE B |
| City | MARION |
| State | SC |
| Zip Code | 29571-6353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098957 | Healthcare Management Group Inc | Family Medicine | 2236 E Highway 76, Marion, SC 29571-6353 | 2007-01-12 |
| 1881921989 | Joel N. Baslot Pt, LLC | Physical Therapist | 2236 E Highway 76, Suite A, Marion, SC 29571-6353 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174662 | Tiffany Antionette Mcbride | Rehabilitation Counselor | 2320 Sc-41 Alt, Marion, SC 29571 | 2018-08-21 |
| 1538658521 | Schinitra Ti'onette Swinney | Nurse Practitioner | 1328 N. Main Street, Marion, SC 29571 | 2018-05-04 |
| 1740708536 | Alexis Drose | Specialist/Technologist | 1418 Derrick Court, Marion, SC 29571 | 2017-09-01 |
| 1215453451 | Joans Health Care LLC | Home Health | 2524 E Highway 76, Marion, SC 29571 | 2017-08-18 |
| 1407371909 | Davet Mcfadden | Counselor | 103 Court Street, Marion, SC 29571 | 2017-08-07 |
| 1568900686 | Jason Owen Hewett | Nurse Practitioner | 125 Jazz Court, Marion, SC 29571 | 2017-02-09 |
| 1225588155 | Extreme Home Health Services | Home Health | 1848 West Highway 76 Suite C, Marion, SC 29571 | 2016-10-04 |
| 1447608757 | Darren Sealey | Chiropractor | 2516 E Highway 76, Suite B, Marion, SC 29571 | 2016-05-26 |
| 1578931812 | Antonio Mcrae | Case Manager/Care Coordinator | 122 Manning St, Marion, SC 29571 | 2015-09-03 |
| 1538568233 | Rakeyta Benjamin | Psychologist | 515 E. Liberty Street, Marion, SC 29571 | 2014-08-19 |
| Find all providers in zip 29571 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587404 | William G Tabbert | Podiatrist | 1125 Ellen Kay Dr, Ste E, Marion, OH 43302-6358 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728032 | Flowertown Podiatry, Inc | Podiatrist | 4340 Ladson Rd Ste C, Ladson, SC 29456-6444 | 2015-08-30 |
| 1346384971 | John Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-02-16 |
| 1326007022 | Mark Raymond Kutyla | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-03-21 |
| 1669441895 | Gerard F Rainer | Podiatrist | 148 Milestone Way, Suite A, Greenville, SC 29615-5007 | 2006-03-17 |
| 1609850122 | Brad A. Lindstrom | Podiatrist | 211 E Butler Rd, Suite A-2, Mauldin, SC 29662-2169 | 2005-11-30 |
| 1285623827 | Sarah M Jordan | Podiatrist | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 | 2005-10-17 |
| 1194259341 | Matthew Fernandez | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2017-04-14 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1336564749 | Oak Tree Podiatry, Pa | Podiatrist | 5 Winchester Ct, Mauldin, SC 29662-2626 | 2014-02-21 |
| 1265673784 | Hans Blaakman,dpm,llc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2009-03-12 |
| Find all providers with the same taxonomy | ||||
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| 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.