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FAMILY FOOT & ANKLE CLINIC PC
NPI 1629127741
Podiatrist in Decatur, IL

Active since January 09, 2007
1390 N FAIRVIEW AVE, DECATUR, IL 62526(217) 429-1512(217) 423-1465 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Foot & Ankle Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY FOOT & ANKLE CLINIC PC (NPI 1629127741) is a healthcare organization registered as a podiatrist in Decatur, Illinois and active in the NPI registry since January 2007. The organization lists Stephen Kovach, President, as its authorized official.

NPPES Registry Identity

NPI1629127741
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFAMILY FOOT & ANKLE CLINIC PC
Location Address1390 N FAIRVIEW AVEDecatur, IL 62526-3618
Mailing Address1390 N Fairview AveDecatur, IL 62526-3618 · (217) 429-1512 · Fax (217) 423-1465
Phone(217) 429-1512
Fax(217) 423-1465
Organization SubpartNo
Authorized OfficialStephen KovachPresident · (217) 429-1512
Enumeration DateJanuary 9, 2007
Last NPPES UpdateFebruary 17, 2011
✔ NPI 1629127741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 060008117
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1390 N FAIRVIEW AVE, Decatur, IL 62526
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Other Identifiers 9

OtherCK6281IL · Railroad Medicare -
Medicare ID-Type Unspecified203513IL · Group
Medicaid016004985IL
Medicare UPINU80989IL
Medicare ID-Type UnspecifiedL94861IL · Dr Pierson
Medicare UPINU80895IL
Medicare ID-Type UnspecifiedL94860IL · Dr Kovach
Medicaid016004984IL
Medicare NSC5360600001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRY REED CUSTER D.C.
Chiropractor
1390 N FAIRVIEW AVE
DECATUR, IL 62526
Macon County (217) 423-4070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Foot & Ankle Clinic PC's NPI number?

The NPI number for Family Foot & Ankle Clinic PC is 1629127741. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Family Foot & Ankle Clinic PC located?

Family Foot & Ankle Clinic PC is located at 1390 N Fairview Ave, Decatur, IL 62526. The listed phone number is (217) 429-1512.

What is Family Foot & Ankle Clinic PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Family Foot & Ankle Clinic PC was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.