Provider Demographics
NPI:1265741037
Name:FOOT AND ANKLE HEALTHCARE CENTER
Entity type:Organization
Organization Name:FOOT AND ANKLE HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PODIATRIC MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:APRIL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:615-252-6929
Mailing Address - Street 1:7051 HIGHWAY 70 S
Mailing Address - Street 2:#170
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2207
Mailing Address - Country:US
Mailing Address - Phone:615-252-6929
Mailing Address - Fax:615-252-6929
Practice Address - Street 1:1994 GALLATIN RD N
Practice Address - Street 2:#310
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115
Practice Address - Country:US
Practice Address - Phone:615-252-6929
Practice Address - Fax:615-252-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN702213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1520179Medicaid
TN6481300001Medicare NSC