MEDICARE: FIRST CHOICE ANKLE & FOOT CARE CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	00286	KY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	00286	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	50011065	OTHER	KY	PASSPORT
4	2734381000	OTHER	KY	PASSPORT ADVANTAGE
5	50013637	OTHER	KY	PASSPORT DME

General Provider Information

NPI Number	:	1528011418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE ANKLE & FOOT CARE CENTER, PLLC

Provider Business Mailing Address
First Line	:	1701 MIDLAND TRL
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-1711
Country	:	US
Telephone Number	:	502-633-3338
Fax Number	:	502-633-2704

Provider Business Practice Location Address
First Line	:	1701 MIDLAND TRL
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-1711
Country	:	US
Telephone Number	:	502-633-3338
Fax Number	:	502-633-2704

Authorized Official
Title or Position	:	OWNER
Name	:	HEIKO B ADAMS
Credential	:	DPM
Telephone Number	:	502-633-3338

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	04/15/2021

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Directions to “FIRST CHOICE ANKLE & FOOT CARE CENTER, PLLC ” Practice Location

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