Provider Demographics
NPI:1821750241
Name:ADVANCED FOOT & ANKLE CARE CENTERS PC
Entity Type:Organization
Organization Name:ADVANCED FOOT & ANKLE CARE CENTERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANKFATHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:615-332-0330
Mailing Address - Street 1:397 WALLACE RD STE 411
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8028
Mailing Address - Country:US
Mailing Address - Phone:615-332-0330
Mailing Address - Fax:615-332-0340
Practice Address - Street 1:2340 FAIRVIEW BLVD STE 600A
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:TN
Practice Address - Zip Code:37062-9457
Practice Address - Country:US
Practice Address - Phone:615-332-0330
Practice Address - Fax:615-332-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3723210Medicaid