SOUTHEAST ALABAMA FOOT CLINIC, P.C.
NPI 1811070410
Podiatrist in Dothan, AL

NPI Status: Active since October 24, 2006

Contact Information

1550 E MAIN ST
DOTHAN, AL
ZIP 36301
Phone: (334) 792-3922
Fax: (334) 712-0405

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Podiatrist
CLIA Number: 01D0920136
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 09-27-2025

About SOUTHEAST ALABAMA FOOT CLINIC, P.C.

This page provides the complete NPI Profile along with additional information for Southeast Alabama Foot Clinic, P.c., a provider established in Dothan, Alabama operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1811070410 assigned on October 2006. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David Russell Wuertzer D.p.m. (President)

NPI: 1811070410
Provider Name: SOUTHEAST ALABAMA FOOT CLINIC, P.C.
Entity Type: Organization
Location Address: 1550 E MAIN ST DOTHAN, AL 36301
Location Phone: (334) 792-3922
Location Fax: (334) 712-0405
Mailing Address: 1550 E MAIN ST DOTHAN, AL 36301
Mailing Phone: (334) 792-3922
Mailing Fax: (334) 712-0405
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-24-2006
Last Update Date: 08-22-2020
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A podiatrist like Southeast Alabama Foot Clinic, P.c. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Podiatrist
Taxonomy Code: 213E00000X
Type: Podiatric Medicine & Surgery Service Providers
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. DAVID RUSSELL WUERTZER D.P.M.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (334) 792-3922

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 01D0920136
Facility Type: Physician Office
Certificate Effective Date: September 28, 2023
Certificate Expiration Date: September 27, 2025
Laboratory Director: GAYNEL B. TAYLOR
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Southeast Alabama Foot Clinic, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	1	1	0	7	0	4	1	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	2	1	0	7	0	4	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 0 + 7 + 0 + 4 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1811070410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.