Jasper Podiatry Center, P.C. in Jasper - Podiatric
Jasper Podiatry Center, P.C. - NPI 1558556225
Jasper Podiatry Center, P.C. is a Podiatric in Jasper, Alabama. Jasper Podiatry Center, P.C. practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Jasper Podiatry Center, P.C. is 1558556225. The last update date is 2023-10-06.
Jasper Podiatry Center, P.C.'s current location address is 1800 Birmingham Ave, Jasper, Alabama. You can contact this provider via phone number 2053844474 and fax number 2053844428. The mailing address for Jasper Podiatry Center, P.C. is 1800 Birmingham Ave, Jasper, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jasper Podiatry Center, P.C. |
|---|---|
| Address | 1800 Birmingham Ave, Jasper, Alabama |
| Phone Number | 2053844474 |
| Fax Number | 2053844428 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIRMAN |
|---|---|
| Authorized Official Name | Odle S John |
| Credentials | DPM |
| Telephone Number | 2059244474 |
NPI Number Detail
| NPI Number | 1558556225 |
|---|---|
| Provider Enumeration Date | 2007-09-06 |
| Last Updated Date | 2023-10-06 |
Provider Mailing Address Detail
| Address | 1800 Birmingham Ave |
|---|---|
| City | Jasper |
| State | Alabama (AL) |
| Post Code | 355015461 |
| Phone Number | 2053844474 |
| Fax Number | 2053844428 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
| Licence No | 157 |
|
Definition: Provides conservative and surgical foot and ankle care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480034067 | AL | RAILROAD MEDICARE | |
| U58040 | AL | UPIN | |
| 51176296 | AL | BLUE CROSS AND BLUE SHIELD OF | |
| 157 | AL | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jasper Podiatry Center, P.C.?
The Jasper Podiatry Center, P.C. has been issued the NPI (National Provider Identifier) 1558556225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jasper Podiatry Center, P.C. is located?
The Jasper Podiatry Center, P.C. is situated at the following address: 1800 Birmingham Ave, Jasper, AL, 355015461.
What is Jasper Podiatry Center, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jasper Podiatry Center, P.C. is Podiatric, and the corresponding taxonomy classification code for this specialized field is 261Qp1100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558556225 to Jasper Podiatry Center, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1558556225 to Jasper Podiatry Center, P.C. on 2007-09-06.
When was the Jasper Podiatry Center, P.C.'s information last updated?
The Jasper Podiatry Center, P.C.'s information was last updated on 2023-10-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY