Provider Demographics
NPI:1396819447
Name:FOOT & ANKLE EAST, P.C.
Entity Type:Organization
Organization Name:FOOT & ANKLE EAST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RESPESS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:252-695-6000
Mailing Address - Street 1:PO BOX 30586
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27833-0586
Mailing Address - Country:US
Mailing Address - Phone:252-695-6000
Mailing Address - Fax:252-695-6059
Practice Address - Street 1:1020 RED BANKS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5466
Practice Address - Country:US
Practice Address - Phone:252-695-6000
Practice Address - Fax:252-695-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC470213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4699540001OtherPTAN: SUPPLIER IDENTIFIER
NC0808VOtherBLUE CROSS BLUE SHEILD
NC890808VMedicaid
NC0808VOtherNC STATE HEALTH PLAN
NC0808VOtherBLUE CROSS BLUE SHEILD
NC890808VMedicaid
NCU90295Medicare UPIN