Provider Demographics
NPI:1437320397
Name:TIMOTHY W. STREMMEL
Entity Type:Organization
Organization Name:TIMOTHY W. STREMMEL
Other - Org Name:ANNISTON FOOT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:W
Authorized Official - Last Name:STREMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:256-238-9991
Mailing Address - Street 1:708 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4756
Mailing Address - Country:US
Mailing Address - Phone:256-238-9991
Mailing Address - Fax:
Practice Address - Street 1:708 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4756
Practice Address - Country:US
Practice Address - Phone:256-238-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL178213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU68003Medicare UPIN
AL000077215Medicare PIN
AL1238110001Medicare NSC