Provider Demographics
NPI:1396016978
Name:CARY FOOT AND ANKLE SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:CARY FOOT AND ANKLE SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:IRUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-460-6088
Mailing Address - Street 1:3731 NW CARY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8436
Mailing Address - Country:US
Mailing Address - Phone:919-460-6088
Mailing Address - Fax:678-325-1447
Practice Address - Street 1:3731 NW CARY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8436
Practice Address - Country:US
Practice Address - Phone:919-460-6088
Practice Address - Fax:678-325-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC428213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU75607Medicare UPIN
U75607Medicare UPIN