NPI 1235728510 · live from the CMS NPI Registry
Advanced Foot & Ankle Center INC
Podiatrist, Foot & Ankle Surgery in Moline, IL. National Provider Identifier 1235728510, active.
NPI record
| NPI | 1235728510 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2101 47th St, Moline, IL 61265 |
| Practice phone | 309-762-5655 |
| Mailing address | 840 35th Avenue Pl Ste 102, Moline, IL 61265 |
| Enumerated | January 12, 2021 |
| Last updated | February 6, 2025 |
| Authorized official | Brian Ting, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.