MARYVILLE FOOT CLINIC INC
NPI 1730101734
Podiatrist - Primary Podiatric Medicine in Maryville, TN

Active since July 25, 2006
1515 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 982-2119(865) 984-5642 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryville Foot Clinic Inc NPPES

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

MARYVILLE FOOT CLINIC INC (NPI 1730101734) is a healthcare organization registered as a primary podiatric medicine in Maryville, Tennessee and active in the NPI registry since July 2006. The organization lists Brandi C Hegerty, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730101734
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameMARYVILLE FOOT CLINIC INC
Location Address1515 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5131
Mailing Address1515 E Lamar Alexander PkwyMaryville, TN 37804-5131 · (865) 982-2119 · Fax (865) 984-5642
Fax(865) 984-5642
Organization SubpartNo
Authorized OfficialBrandi C HegertyOffice Manager · (865) 681-6667
Enumeration DateJuly 25, 2006
Last NPPES UpdateApril 20, 2008
NPI 1730101734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in TN · 564
1515 E LAMAR ALEXANDER PKWY, Maryville, TN 37804

Other Identifiers 8

Medicare NSC5629140001TN
Other7404093TN · Aetna
Other1231208TN · Cigna
Medicare ID-Type Unspecified3732878TN · Group Number
OtherTN0101TN · John Deere
Other4118088TN · Bcbs Of Tn
Medicaid3732878TN
OtherBNA2743006TN · United Healthcare

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

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 Maryville Foot Clinic Inc's NPI number?

The NPI number for Maryville Foot Clinic Inc is 1730101734. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Maryville Foot Clinic Inc located?

Maryville Foot Clinic Inc is located at 1515 E Lamar Alexander Pkwy, Maryville, TN 37804. The listed phone number is (865) 982-2119.

What is Maryville Foot Clinic Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Maryville Foot Clinic Inc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.