Provider Demographics
NPI:1184759706
Name:CHARLOTTE FOOT & ANKLE SPECIALISTS, PLLC
Entity type:Organization
Organization Name:CHARLOTTE FOOT & ANKLE SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:704-504-4000
Mailing Address - Street 1:2550 W ARROWOOD RD
Mailing Address - Street 2:SUITE #102
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-6651
Mailing Address - Country:US
Mailing Address - Phone:704-504-4000
Mailing Address - Fax:
Practice Address - Street 1:2550 W ARROWOOD RD
Practice Address - Street 2:SUITE #102
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-6651
Practice Address - Country:US
Practice Address - Phone:704-504-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC457213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890807XMedicaid
NC890807XMedicaid
NC232073Medicare PIN
NCU82884Medicare UPIN