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Contact Information

FOOT AND ANKLE SURGICAL ASSOC
952 POST ROAD
FOOT AND ANKLE SURGICAL ASSOC
WELLS, ME04090
 Phone: 207-646-9996
 Fax: 207-646-9949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE SURGICAL ASSOC

NPI Number 1205816766
LBN Legal business name FOOT AND ANKLE SURGICAL ASSOC
Authorized official STEVEN BRAGG - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2006
Last updated 07/22/2008 - About 18 years ago
Identifiers
ME License # POD1039
ME Medicaid 431952200
ME Other 022848 ANTHEM MAINE
ME Other 1205816766 GROUP NPI #
ME Other 1659479541 IND NPI #
ME Other MM9150 MEDICARE IND PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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