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GASTON FOOT & ANKLE ASSOCIATES P A NPI 1932194487


NPI Information

NPI: 1932194487
Provider Name: GASTON FOOT & ANKLE ASSOCIATES P A
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
251 WILMOT DR
GASTONIA, NC
ZIP 28054
Phone: (704) 861-0425
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GASTON FOOT & ANKLE ASSOCIATES P A is a podiatrist in Gastonia, NC. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GASTON FOOT & ANKLE ASSOCIATES P A NPI is 1932194487. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

251 WILMOT DR
GASTONIA, NC
ZIP 28054-048
Phone: (704) 861-0425
Fax: (704) 861-0274

The provider's authorized official is David Russell Kirlin .
The authorized official title is President and has the following contact phone number (704) 861-0425.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 5/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12058521OTHERAETNA
2243168MEDICARE ID-TYPE UNSPECIFIED
30352380001MEDICARE NSCNORTH CAROLINA
413835OTHERWELLPATH/COVENTRY
5060AOTHERNORTH CAROLINABCBS
6102463OTHERWELLNES
78900160AMEDICAIDNORTH CAROLINA
8PDN999MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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