Provider Demographics
NPI:1538155015
Name:FOOT & ANKLE ASSOCIATES PLLC
Entity type:Organization
Organization Name:FOOT & ANKLE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G. ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-892-5575
Mailing Address - Street 1:143 JOE KNOX AVE
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9243
Mailing Address - Country:US
Mailing Address - Phone:704-662-3660
Mailing Address - Fax:704-662-3595
Practice Address - Street 1:15419 HODGES CIR
Practice Address - Street 2:SUITE # 200
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6557
Practice Address - Country:US
Practice Address - Phone:704-892-5575
Practice Address - Fax:704-892-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC790148VMedicaid
CI2960OtherMEDICARE RAILROAD
NC0148VOtherBCBS OF N.C.
NC1241890001Medicare NSC
NC790148VMedicaid