HOLCOMB'S FOOT & LEG CLINIC OF CUMMING (NPI# 1972576379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972576379 |
| Entity Type | Organization |
| Organization Name | HOLCOMB'S FOOT & LEG CLINIC OF CUMMING |
| Other Organization Name | CUMMING FOOT & LEG CLINIC |
| Practice Address |
210 Oakside Lane Suite B Canton GA 30114 |
| Mailing Address |
236 Atlanta Road Cumming GA 30040 |
| Practice Telephone | 6788800036 |
| Practice Fax Number | 6784937051 |
| Mailing Telephone | 7708899596 |
| Mailing Fax Number | 7708899547 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRET J HINTZE (OWNER) |
| Authorized Official Telephone | 7708899596 |
| 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 |
000925 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 52866606009 | 01 | |
| GA | DMERC | 5168230001 | 01 |
| Other Name | Type Code |
|---|---|
| CUMMING FOOT & LEG CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982677621 | Holcomb's Foot & Leg Clinic of Cumming | Podiatrist | 620 J L White Dr, Ste 100, Jasper, GA 30143 | 2006-02-13 |
| Street Address |
210 OAKSIDE LANE SUITE B |
| City | CANTON |
| State | GA |
| Zip Code | 30114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194168195 | Brandon Semma | Podiatrist | 43050 Ford Rd Ste 150, Canton, MI 48187-3359 | 2013-04-10 |
| 1386976744 | Ohio Foot and Ankle Center, LLC | Podiatrist | 4642 Hills and Dales Rd Nw, Canton, OH 44708-1510 | 2010-02-09 |
| 1427203413 | Janet H. Baatile-ajrouche | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2008-11-18 |
| 1376616276 | Charles S Yarnevich | Podiatrist | 1548 Fulton Rd Nw, Canton, OH 44703 | 2006-11-16 |
| 1245271493 | Gary M Greger Dpm Inc | Podiatrist | 6227 Frank Ave Nw, Canton, OH 44720-8439 | 2006-06-09 |
| 1598755274 | Steven David Gross | Podiatrist | 4503 Fulton Dr Nw, Canton, OH 44718-2331 | 2005-10-25 |
| 1598269714 | Dwayne A Lay LLC | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2018-03-21 |
| 1922527118 | Northeast Ohio Foot and Ankle Specialists LLC | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708-4196 | 2017-09-19 |
| 1689076408 | Ann Arbor Limb Salvage Specialists | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2014-09-24 |
| 1629319207 | Advance Family Foot & Ankle | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2013-03-07 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on HOLCOMB'S FOOT & LEG CLINIC OF CUMMING.
| 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.