ASSOCIATED FOOT SPECIALISTS PA (NPI# 1700990231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700990231 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED FOOT SPECIALISTS PA |
| Practice Address |
2097 Henry Tecklenburg Dr Suite 210w Charleston SC 29414-5740 |
| Practice Telephone | 8438529444 |
| Practice Fax Number | 8438529404 |
| Mailing Telephone | 8438529444 |
| Mailing Fax Number | 8438529404 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | CHARLES J GUDAS (PRESIDENT) |
| Authorized Official Telephone | 8438529444 |
| 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 |
104 | SC | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2097 HENRY TECKLENBURG DR SUITE 210W |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122112 | Michael Alan Spandorfer | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 305, Charleston, SC 29414-5744 | 2005-05-24 |
| 1073066932 | Mark J Segal Md LLC | Specialist | 2097 Henry Tecklenburg Dr, Suite 212w, Charleston, SC 29414-5740 | 2016-07-27 |
| 1194132852 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Suite 201w, Charleston, SC 29414 | 2014-07-15 |
| 1144647850 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2097 Henry Tecklenburg Dr, Suite 322 W, Charleston, SC 29414-5740 | 2014-03-20 |
| 1356636682 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 316 W, Charleston, SC 29414-5740 | 2011-06-15 |
| 1407141633 | John Daniel Gentry | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr, Suite 316 W, Charleston, SC 29414-5740 | 2011-06-15 |
| 1003114406 | Palmetto Primary Care Physicians | Family Medicine | 2097 Henry Tecklenburg Dr, Charleston, SC 29414-5740 | 2011-03-09 |
| 1164733366 | Erin Victoria Sparks | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr, Suite 322w, Charleston, SC 29414-5740 | 2010-06-23 |
| 1841515152 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2097 Henry Tecklenburg Dr, Suite 218 West, Charleston, SC 29414-5740 | 2010-03-30 |
| 1225366719 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Suite 305 West, Charleston, SC 29414 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174968218 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 5504 Maccorkle Ave Se, Charleston, WV 25304-2320 | 2013-05-02 |
| 1992904270 | Carrie Parris Frame | Podiatrist | 100 Tracy Way Ste 400, Charleston, WV 25311 | 2007-07-16 |
| 1376597062 | Stuart L Tessler | Podiatrist | 60 Markfield Dr, #3, Charleston, SC 29407-7907 | 2006-05-19 |
| 1134183643 | Mohammad Imani | Podiatrist | 4813 Maccorkle Ave Se, Charleston, WV 25304-1948 | 2006-04-12 |
| 1164497582 | Dennis Emerson Martin | Podiatrist | 9279 Medical Plaza Dr, Suite D, Charleston, SC 29406-9141 | 2006-02-20 |
| 1699279455 | Neurological Associates, Inc. | Podiatrist | 100 Tracy Way, Charleston, WV 25311-1257 | 2018-03-19 |
| 1811212137 | Roper Saint Francis Physicians Network | Podiatrist | 60 Markfield Dr, Ste 3, Charleston, SC 29407-7907 | 2010-03-30 |
| 1639492473 | Rahn Antonio Ravenell | Podiatrist | 171 Ashley Ave, Charleston, SC 29425-1810 | 2010-03-08 |
| 1578742631 | Carrie A Lakin | Podiatrist | 331 Laidley St, Suite 602, Charleston, WV 25301-1619 | 2007-10-25 |
| 1760531495 | Charleston Podiatry Pa | Podiatrist | 60 Markfield Dr, Ste 3, Charleston, SC 29407-7907 | 2007-01-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on ASSOCIATED FOOT SPECIALISTS PA.
| 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.