Provider Demographics
NPI:1538405444
Name:ADVANCED FOOT AND ANKLE CENTERS, INC
Entity type:Organization
Organization Name:ADVANCED FOOT AND ANKLE CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNAVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-856-2778
Mailing Address - Street 1:8501 E MARKET ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2345
Mailing Address - Country:US
Mailing Address - Phone:330-856-2778
Mailing Address - Fax:330-856-5436
Practice Address - Street 1:819 MCKAY CT
Practice Address - Street 2:SUITE 204
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5713
Practice Address - Country:US
Practice Address - Phone:330-856-2778
Practice Address - Fax:330-856-5436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-20
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty