OMALLEY FOOT AND ANKLE PA (NPI# 1952400806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952400806 |
| Entity Type | Organization |
| Organization Name | OMALLEY FOOT AND ANKLE PA |
| Practice Address |
1505 Medical Center Dr Wilmington NC 28401-7507 |
| Practice Telephone | 9102519880 |
| Practice Fax Number | 9102519297 |
| Mailing Telephone | 9102519880 |
| Mailing Fax Number | 9102519297 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | MR. ROBERT BRIAN OMALLEY (PRESIDENTOWNER) |
| Authorized Official Telephone | 9102519880 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
418 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS-NC | 018H0 | 01 |
| NC | MEDICARE DMERC PTAN | 1284510001 | 01 |
| NC | 790801M | 05 |
| Street Address |
1505 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124682885 | Samantha Ferguson | Dietitian, Registered | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2019-04-29 |
| 1104398627 | Sarah Abbitt | Dietitian, Registered | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2018-12-21 |
| 1053811745 | Jonelle Addabbo | Dietitian, Registered | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2018-02-19 |
| 1073030888 | Jessica Arden Lippert | Dietitian, Registered | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2017-08-23 |
| 1770837726 | Sara Bell Parrish | Dietitian, Registered | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2012-10-30 |
| 1174800577 | Nutrition In Motion | Dietitian, Registered | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2011-11-14 |
| 1649598806 | Jennifer Weir | Nutritionist | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2010-05-12 |
| 1548592892 | Sonia Vieregge Kennedy | Dietitian, Registered | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2010-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161946 | Christopher Colin Young | Podiatrist | 1606 Wellington Ave Ste C, Wilmington, NC 28401-7704 | 2005-08-22 |
| 1295266641 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 4113 Oleander Dr, Suite G, Wilmington, NC 28403-6839 | 2017-03-27 |
| 1760870323 | Azalea Coast Podiatry and Foot Spa, Pllc | Podiatrist | 1604 Physicians Dr, Suite 105, Wilmington, NC 28401-7362 | 2015-01-06 |
| 1366625972 | Health One Podiatry P.a. | Podiatrist | 1200 Philadelphia Pike, Wilmington, DE 19809-2042 | 2007-12-06 |
| 1598834350 | Kerry Allyson Smith | Podiatrist | 1604 Physicians Dr, Suite 105, Wilmington, NC 28401-7362 | 2006-11-07 |
| 1831108869 | Jeffrey B. Pupp | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730660200 | Family Foot and Ankle Specialists of The Carolinas Pllc | Podiatrist | 1548 Union Rd Ste D, Gastonia, NC 28054-5530 | 2018-08-23 |
| 1750813978 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 134 Memory Plz, Whiteville, NC 28472-2640 | 2017-03-28 |
| 1730574757 | Active Foot and Ankle of Carolina Pllc | Podiatrist | 1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 | 2015-04-06 |
| 1134466113 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 710 Brookdale Dr, Statesville, NC 28677-3406 | 2013-01-10 |
| 1760702245 | Reagan Buie Parrish | Podiatrist | 302 N 35th St, Morehead City, NC 28557-3106 | 2010-06-07 |
| 1982858874 | Peacock Foot Clinic, PC | Podiatrist | 409 Williams St, Elizabethtown, NC 28337 | 2008-11-05 |
| 1720247539 | Slf Podiatry, Pllc | Podiatrist | 1613 St. Andrews Dr., Mebane, NC 27302-7116 | 2008-06-06 |
| 1275709677 | Jeffrey B Pupp | Podiatrist | 114 N Norwood St, Wallace, NC 28466-2730 | 2008-05-06 |
| 1205975133 | Robert Alan Klein | Podiatrist | 519 S Van Buren Rd Ste D, Eden, NC 27288-5015 | 2007-02-06 |
| 1952488173 | Matthew M Schlosser | Podiatrist | 86 Victoria Rd Bldg A, Asheville, NC 28801-4449 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on OMALLEY FOOT AND ANKLE 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.