| Eastern Carolina Foot An Ankle Specialists, Inc | |
|
2140 W Arlington Blvd, Suite D, Greenvile, NC 27834 | |
| (252) 830-1000 | |
| (252) 830-0511 |
| Full Name | Eastern Carolina Foot An Ankle Specialists, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2140 W Arlington Blvd, Greenvile, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073688123 | NPI | - | NPPES |
| 0182Y | Other | NC | BCBSNC |
| 890182Y | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 361 (North Carolina) | Secondary |
| 213E00000X | Podiatrist | 435 (North Carolina) | Secondary |
| 213E00000X | Podiatrist | 485 (North Carolina) | Primary |
| Provider Name | Kenneth Y Rosenthal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790773406 PECOS PAC ID: 3173585106 Enrollment ID: I20041101001044 |
| Provider Name | Jonathan Carl O Quinn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811948607 PECOS PAC ID: 1456394972 Enrollment ID: I20050606001107 |
| Provider Name | Christopher J Gauland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427040153 PECOS PAC ID: 5395710610 Enrollment ID: I20100309000810 |
| Provider Name | Michael Joseph Price |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083008981 PECOS PAC ID: 6608123732 Enrollment ID: I20180720001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Carolina Foot An Ankle Specialists, Inc 2140 W Arlington Blvd Ste D, Greenville, NC 27834-5709 Ph: (252) 830-1000 | Eastern Carolina Foot An Ankle Specialists, Inc 2140 W Arlington Blvd, Suite D, Greenvile, NC 27834 Ph: (252) 830-1000 |