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 |