CMS-1500 Box 24J / 33a • NPI
1659638104
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
213ES0103X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
Box 32 Service Location & ZIP+4
940 WINDHAM CT, SUITE 3, BOARDMAN, OH, 44512-5060
✓ 9-Digit EDI 837 ZIP+4 (44512-5060)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1659638104 (ADVANCED ARTHROSCOPIC FOOT & ANKLE ASSOCIATES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1659638104 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED ARTHROSCOPIC FOOT & ANKLE ASSOCIATES, INC. |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery NUCC Code: 213ES0103X (Podiatrist, Foot & Ankle Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 940 WINDHAM CT, SUITE 3, BOARDMAN, OH, 44512-5060 |
| Practice Telephone / Fax | Tel: (330) 726-3348 |
| Administrative Mailing Address | 940 WINDHAM CT, BOARDMAN, OH, 44512-5060 |
| Enumeration & Last Sync | Enumerated: 2012-04-20 | CMS Record Updated: 2021-05-28 |
| Authorized Official | JAMES PROMMERSBERGER (onwer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213ES0103X)
What Does Taxonomy Code 213ES0103X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0103X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED ARTHROSCOPIC FOOT & ANKLE ASSOCIATES, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: OH | License: 36-00-2619 | Primary: Secondary |
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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