Provider Demographics
NPI:1275740037
Name:CAROLINA FOOT AND ANKLE, P.A.
Entity Type:Organization
Organization Name:CAROLINA FOOT AND ANKLE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SKORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:704-487-0634
Mailing Address - Street 1:116 LEE ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3839
Mailing Address - Country:US
Mailing Address - Phone:704-487-0634
Mailing Address - Fax:704-487-0691
Practice Address - Street 1:116 LEE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3839
Practice Address - Country:US
Practice Address - Phone:704-487-0634
Practice Address - Fax:704-487-0691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC112213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7908167Medicaid
NC0805NOtherBLUE CROSS BLUE SHIELD
NC243053Medicare ID - Type Unspecified
NC7908167Medicaid