INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC (NPI# 1790039154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790039154 |
| Entity Type | Organization |
| Organization Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
| Other Organization Name | COMPREHENSIVE FOOT & ANKLE CENTER |
| Practice Address |
2711 Randolph Rd Suite 503 Charlotte NC 28207-2034 |
| Mailing Address |
Po Box 1060 6602 Roberta Road Harrisburg NC 28075-1060 |
| Practice Telephone | 7043325115 |
| Practice Fax Number | 7043325116 |
| Mailing Telephone | 7043325115 |
| Mailing Fax Number | 7043325116 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | ZACHARY J NELLAS (PARTNER) |
| Authorized Official Telephone | 7043325115 |
| 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 |
413 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790801Y | 05 |
| Other Name | Type Code |
|---|---|
| Comprehensive Foot & Ankle Center | Doing Business As Name - Organization |
| 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 |
2711 RANDOLPH RD SUITE 503 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233279 | David W Mcallister | Obstetrics & Gynecology | 2711 Randolph Rd, Ste 512, Charlotte, NC 28207-2027 | 2005-05-23 |
| 1821521451 | Prestige Health & Wellness Center, Pllc | Clinic/Center | 2711 Randolph Rd, Suite 207, Charlotte, NC 28207-2034 | 2017-04-10 |
| 1558804203 | Nancy D. Marvin | Nurse Practitioner | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2016-11-29 |
| 1295108454 | Py Hearing and Communication Center | Audiologist | 2711 Randolph Rd, Suite 307, Charlotte, NC 28207-2034 | 2015-11-09 |
| 1588052765 | Veronica Laplante Rankin | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-12-22 |
| 1205238466 | Brittney Foreman Mcguirt | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-09-19 |
| 1720493083 | Anne Poutier | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-06-25 |
| 1134533540 | Sean Henriquez | Speech-Language Pathologist | 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 | 2014-06-13 |
| 1689090474 | Brandie Buckingham | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-03-17 |
| 1144653205 | Samuel Jackson Burrow Iv | Dentist | 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376370 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 | 2020-05-01 |
| 1710381777 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 9216 Ardrey Kell Rd Ste 100, Charlotte, NC 28277-4954 | 2014-10-20 |
| 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 |
| 1891046454 | Matthew Borns | Podiatrist | 6831 Fairview Rd, Charlotte, NC 28210-3386 | 2012-09-23 |
| 1821251737 | Michael J. Ryan, Dpm, Pa | Podiatrist | 8912 Blakeney Profession Center, A2, Charlotte, NC 28277 | 2008-07-10 |
| 1770631384 | Michael J Ryan Dpm Pa | Podiatrist | 8310 Medical Plaza Dr Ste E, Charlotte, NC 28262-6703 | 2007-01-08 |
| 1275693509 | Mark Miceli | Podiatrist | 8301 University Exec Park Dr Ste 112, Charlotte, NC 28262-3593 | 2006-12-08 |
| 1174606156 | John Josph Longobardo | Podiatrist | 9124 S Tryon St, Suite J, Charlotte, NC 28273-3114 | 2006-10-23 |
| 1871524595 | Charlotte Foot Clinic | Podiatrist | 4016 Wilkinson Blvd, Ste A, Charlotte, NC 28208 | 2006-07-05 |
| Find all providers in CHARLOTTE | ||||
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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.