Provider Demographics
NPI:1720757016
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/DPM
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:PO BOX 306025
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6025
Mailing Address - Country:US
Mailing Address - Phone:615-332-0330
Mailing Address - Fax:615-332-0340
Practice Address - Street 1:617 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462-1355
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:2021-09-09
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3723210Medicaid