DR. MARK A GOTFRYD (NPI# 1780795781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780795781 |
| Entity Type | Individual |
| Full Name | DR. MARK A GOTFRYD |
| Credential | D.P.M. |
| Practice Address |
1703 Center Point Pkwy Birmingham AL 35215-5505 |
| Practice Telephone | 2058537878 |
| Practice Fax Number | 2058538272 |
| Mailing Telephone | 2058537878 |
| Mailing Fax Number | 2058538272 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00109 | AL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS OF ALABAMA | 510-71144 | 01 |
| AL | BC/BS OF ALABAMA PROVIDER | 510-72959 | 01 |
| AL | UHC PROVIDER NUMBER | 27-10029 | 01 |
| Street Address |
1703 CENTER POINT PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35215-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902972607 | Dr Mark A Gotfryd PC | Prosthetic/Orthotic Supplier | 1703 Center Point Pkwy, Birmingham, AL 35215-5505 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548751340 | Shanta Marie Johnson | Home Health | 113 22nd Avenue Sw, Centerpoint, AL 35215 | 2018-05-29 |
| 1962921627 | Ernest L Sanders | Counselor | 24 Freda Jane Lane, Birmingham, AL 35215 | 2017-09-13 |
| 1750804092 | Deborah Lanette Alexander | Specialist | 827 Floretine Dr., Birmingham, AL 35215 | 2017-07-19 |
| 1992234355 | Angela Gray | Specialist | 3941 Amanda Court, Birmingham, AL 35215 | 2017-06-08 |
| 1245575950 | American Family Care, Inc. | General Practice | 20 Hazelwood Dr, Pell City, AL 35215 | 2012-12-06 |
| 1669744454 | Matthew Todd Kellum | Physical Therapist | 1687 Center Point Pkwy Ste 101, Center Point, AL 35215 | 2012-02-08 |
| 1417194754 | Maribel Vista Dela Cruz | Physical Therapist | 1920 Springville Road, Suite 104, Birmingham, AL 35215 | 2009-01-08 |
| 1649330200 | Roger L Gill | Dentist | 2232 Center Point Parkway, Birmingham, AL 35215 | 2006-12-12 |
| 1861568891 | Ronald G Philipp | Dentist | 2525 Centerpoint Parkway, Birmingham, AL 35215 | 2006-11-28 |
| 1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
| Find all providers in zip 35215 | ||||
| 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 |
|---|---|---|---|---|
| 1467804401 | Kevin Garfield | Podiatrist | 1775 E 14 Mile Rd Ste 100, Birmingham, MI 48009-7204 | 2016-07-01 |
| 1528346145 | Kristen Nicole Murray | Podiatrist | 2116 Chapel Hill Road, Birmingham, AL 35216 | 2011-07-31 |
| 1447483961 | Narrows Podiatry LLC | Podiatrist | 153 Narrows Parkway, Suite 102, Birmingham, AL 35242 | 2009-09-01 |
| 1043456254 | Trussville Foot Care Center PC | Podiatrist | 1930 Edwards Lake Rd, Suite 138, Birmingham, AL 35235-3718 | 2008-12-18 |
| 1861516429 | Donald J Garfield Dpm PC | Podiatrist | 1775 E 14 Mile, Birmingham, MI 48009 | 2007-03-19 |
| 1104976679 | Mark L Riley Dpm PC | Podiatrist | 1327 Pierce St, Birmingham, MI 48009 | 2007-01-10 |
| 1356490932 | Mark L Riley | Podiatrist | 1327 Pierce Street, Birmingham, MI 48009 | 2007-01-10 |
| 1861438210 | Kevin L Waldrop | Podiatrist | 1960 Gadsden Hwy, Suite 120, Birmingham, AL 35235-4200 | 2006-06-22 |
| 1093754566 | Donald W Hayes | Podiatrist | 2116 Chapel Hill Rd, Birmingham, AL 35216-5106 | 2006-06-06 |
| 1356309900 | Donald J Garfield | Podiatrist | 1775 E 14 Mile Rd, Birmingham, MI 48009-7206 | 2006-05-03 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35215 |
Please comment or provide details below to improve the information on DR. MARK A GOTFRYD.
| 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.