INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC (NPI# 1962874669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962874669 |
Entity Type | Organization |
Organization Name | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC |
Practice Address |
11 Mills Ave Greenville SC 29605-4015 |
Mailing Address |
1190 Highway 9 Byp W Lancaster SC 29720-1709 |
Practice Telephone | 8642323668 |
Mailing Telephone | 8032851411 |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-10-21 |
Authorized Official Name | BRANDON S PERCIVAL (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 8032851411 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
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 |
11 MILLS AVE |
City | GREENVILLE |
State | SC |
Zip Code | 29605-4015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700830403 | Subodh Kumar Choudhary | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2006-05-19 |
1104241223 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2014-02-26 |
1487811337 | Sarah Mccurdy Fitzgerald | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2008-05-19 |
1083880835 | Smitha Sara Joseph | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2008-05-01 |
1114943164 | Piedmont Podiatry Associates P A | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
Find all providers in zip 29605 |
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 |
---|---|---|---|---|
1154899508 | Reich Foot and Ankle, LLC | Podiatrist | 3 Presidential Dr Apt C, Greenville, DE 19807-3216 | 2018-11-04 |
1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
1952611543 | Family Foot and Ankle Physicians Pllc | Podiatrist | 1432 E. Firetower Road, Greenville, NC 27858-4105 | 2010-10-15 |
1386960870 | Matthew David Painting | Podiatrist | 415 West Russ Road, Greenville, OH 45331 | 2010-04-09 |
1770695108 | John M Portera | Podiatrist | 1175 S Main St, Greenville, MS 38701-6337 | 2006-08-31 |
1831127026 | Brian N Kille | Podiatrist | 220 Fortdale Rd, Greenville, AL 36037-1502 | 2006-06-28 |
1568418259 | Thomas Michael Jones | Podiatrist | 5 Arborland Way, Greenville, SC 29615-2201 | 2006-05-25 |
1164477527 | Ankle and Foot Care Centers | Podiatrist | 3 Greenville Orthopedic Ctr, Greenville, PA 16125-1210 | 2006-05-24 |
1700830403 | Subodh Kumar Choudhary | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2006-05-19 |
1538113279 | Cassandra Waters Pike | Podiatrist | 11 Mills Avenue, Greenville, SC 29605 | 2006-05-19 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29605 |
Please comment or provide details below to improve the information on INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC.
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.