Provider Demographics
NPI:1457625790
Name:METROPOLITAN ANKLE AND FOOT CENTER INC
Entity Type:Organization
Organization Name:METROPOLITAN ANKLE AND FOOT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:502-419-8219
Mailing Address - Street 1:2932 BRECKENRIDGE LN STE 10
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1490
Mailing Address - Country:US
Mailing Address - Phone:502-741-4905
Mailing Address - Fax:502-409-4275
Practice Address - Street 1:2932 BRECKENRIDGE LN STE 10
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1490
Practice Address - Country:US
Practice Address - Phone:502-741-4905
Practice Address - Fax:502-409-4275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY213ES0103X
KY00179332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK039090Medicare PIN