Reconstructive Foot & Ankle Specialists, Llc in Fort Wayne - Foot & Ankle Surgery

Reconstructive Foot & Ankle Specialists, Llc - NPI 1255496352

Reconstructive Foot & Ankle Specialists, Llc is a Foot & Ankle Surgery in Fort Wayne, Indiana. Reconstructive Foot & Ankle Specialists, Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Reconstructive Foot & Ankle Specialists, Llc is 1255496352. The last update date is 2008-08-04.

Reconstructive Foot & Ankle Specialists, Llc's current location address is P.o. Box 12754, Fort Wayne, Indiana. You can contact this provider via phone number 2609691950 and fax number 2609690988. The mailing address for Reconstructive Foot & Ankle Specialists, Llc is P.o. Box 12754, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Reconstructive Foot & Ankle Specialists, Llc
Address P.o. Box 12754, Fort Wayne, Indiana
Phone Number 2609691950
Fax Number 2609690988
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Norton V Jonathan
Credentials DPM
Telephone Number 2609691950

NPI Number Detail

NPI Number 1255496352
Provider Enumeration Date 2006-12-27
Last Updated Date 2008-08-04

Provider Mailing Address Detail

Address P.o. Box 12754
City Fort Wayne
State Indiana (IN)
Post Code 468662754
Phone Number 2609691950
Fax Number 2609690988

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 07000881A
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200847960 IN --
200847960A IN --

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FAQs about Reconstructive Foot & Ankle Specialists, Llc

What is the unique identifier code issued to Reconstructive Foot & Ankle Specialists, Llc by the Centers for Medicare & Medicaid Services?

The Reconstructive Foot & Ankle Specialists, Llc has been assigned the NPI (National Provider Identifier) 1255496352. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Reconstructive Foot & Ankle Specialists, Llc located?

The Reconstructive Foot & Ankle Specialists, Llc is located at P.O. Box 12754, Fort Wayne, IN 468662754.

What is Reconstructive Foot & Ankle Specialists, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Reconstructive Foot & Ankle Specialists, Llc is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.

On what date did Reconstructive Foot & Ankle Specialists, Llc receive its 1255496352 assignment from the Centers for Medicare & Medicaid Services?

The Reconstructive Foot & Ankle Specialists, Llc was assigned its 1255496352 on 2006-12-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Reconstructive Foot & Ankle Specialists, Llc most recently updated or revised?

The information pertaining to Reconstructive Foot & Ankle Specialists, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-04.

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