EXTENDED FOOT CARE SERVICES, LLC (NPI# 1437207727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437207727 |
| Entity Type | Organization |
| Organization Name | EXTENDED FOOT CARE SERVICES, LLC |
| Practice Address |
3610 Watermelon Rd Suite 103 Northport AL 35473-5170 |
| Practice Telephone | 2053459218 |
| Practice Fax Number | 2053452952 |
| Mailing Telephone | 2053459218 |
| Mailing Fax Number | 2053452952 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | DR. JACK S MARQUIS (OWNER) |
| Authorized Official Telephone | 2053459218 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 123 | AL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3610 WATERMELON RD SUITE 103 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215960927 | Davis & Davis, Clinical Psychologists, PC | Psychologist | 3610 Watermelon Rd, Suite 105, Northport, AL 35473-5170 | 2006-07-08 |
| 1801821335 | Jack Stewart Marquis | Podiatrist | 3610 Watermelon Rd, Suite 103, Northport, AL 35473-5170 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760549836 | Elizabeth A Haeni | Podiatrist | 50 Meadow Glen Rd, Northport, NY 11768-2711 | 2007-01-01 |
| 1639162118 | Denise G Casinover-raio | Podiatrist | 1032 Fort Salonga Rd, Northport, NY 11768-2208 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558876847 | Pampered Podiatry Nurturing Nails & Foot Care | Podiatrist | 1219 Jordan Ln Nw, Huntsville, AL 35816-3000 | 2017-12-07 |
| 1487063731 | Leeds Podiatry LLC | Podiatrist | 1628 9th St, Ste 112, Leeds, AL 35094-4140 | 2014-08-11 |
| 1720355670 | Family Footcare LLC | Podiatrist | 4358 Midmost Dr, Suite B, Mobile, AL 36609-5510 | 2011-11-21 |
| 1528346145 | Kristen Nicole Murray | Podiatrist | 2116 Chapel Hill Road, Birmingham, AL 35216 | 2011-07-31 |
| 1396032280 | Lincoln V Lowe | Podiatrist | 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 | 2011-06-30 |
| 1972806867 | Hayneville Podiatry Clinic | Podiatrist | 221 Hayneville Plaza, Hayneville, AL 36040-0190 | 2010-12-15 |
| 1447483961 | Narrows Podiatry LLC | Podiatrist | 153 Narrows Parkway, Suite 102, Birmingham, AL 35242 | 2009-09-01 |
| 1780812628 | Birmingham Podiatry, P.C. | Podiatrist | 227 1st St N, Alabaster, AL 35007-8767 | 2009-06-30 |
| 1821238718 | Complete Foot Care LLC | Podiatrist | 411 Reston Dr, Tuscaloosa, AL 35406-2043 | 2009-03-05 |
| 1043456254 | Trussville Foot Care Center PC | Podiatrist | 1930 Edwards Lake Rd, Suite 138, Birmingham, AL 35235-3718 | 2008-12-18 |
| 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.