Provider Demographics
NPI:1003836453
Name:CARTERET FOOT & ANKLE SPECIALIST, PC
Entity Type:Organization
Organization Name:CARTERET FOOT & ANKLE SPECIALIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VITO
Authorized Official - Last Name:LOPICCOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:252-247-3256
Mailing Address - Street 1:302 NORTH 35TH STREET
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557
Mailing Address - Country:US
Mailing Address - Phone:252-247-3256
Mailing Address - Fax:252-808-3183
Practice Address - Street 1:302 NORTH 35TH STREET
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557
Practice Address - Country:US
Practice Address - Phone:252-247-3256
Practice Address - Fax:252-808-3183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC013JVOtherACBS
NC89013JVMedicaid
NC4462880001Medicare NSC
NCDB0415Medicare PIN
NC2433645Medicare PIN