Provider Demographics
NPI:1740396290
Name:FOOT AND ANKLE ASSOCIATES LLP
Entity Type:Organization
Organization Name:FOOT AND ANKLE ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:IANNUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-444-6520
Mailing Address - Street 1:692 UNIONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1704
Mailing Address - Country:US
Mailing Address - Phone:302-623-4250
Mailing Address - Fax:302-623-4252
Practice Address - Street 1:774 CHRISTIANA RD
Practice Address - Street 2:SUITE 105
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4236
Practice Address - Country:US
Practice Address - Phone:302-623-4250
Practice Address - Fax:302-623-4252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
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
144950500OtherUS DEPARTMENT OF LABOR
510385821OtherCORVEL WC
510385821OtherMAMSI/OPTIMUM CHOICE
DE0550482000OtherAMERIHEALTH/KEYSTONE
510385821OtherCIGNA
5851771OtherAETNA
DE0335570006OtherDME
DE32441OtherCOVENTRY
000750359OtherHIGHMARK BC
DE510385821OtherBCBS
DE0000962450Medicaid
510385821OtherTRICARE
510385821OtherELDER HEALTH
510385821OtherUNITED HEALTHCARE