Provider Demographics
NPI:1841397320
Name:FAMILY FOOT AND ANKLE CARE PLLC
Entity Type:Organization
Organization Name:FAMILY FOOT AND ANKLE CARE PLLC
Other - Org Name:1 STEP AHEAD FOOT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:502-244-7300
Mailing Address - Street 1:130 N EVERGREEN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1489
Mailing Address - Country:US
Mailing Address - Phone:502-244-7300
Mailing Address - Fax:
Practice Address - Street 1:130 N EVERGREEN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1489
Practice Address - Country:US
Practice Address - Phone:502-244-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00316213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5757270001Medicare NSC