Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Arthroscopic Foot & Ankle Associates, Inc

Organization Family Medicine Physician · NPI 1659638104

Advanced Arthroscopic Foot & Ankle Associates, Inc provides Family Medicine Physician services in Boardman, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

940 Windham Ct Ste 3
Boardman, OH 44512-5060
Phone: (330) 726-3348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Family Medicine Physician Taxonomy 207Q00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 36-00-2619 (OH)

Record details

NPI number1659638104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Prommersberger — Onwer · (330) 726-3348
NPI enumeratedApril 20, 2012
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021
Mailing address940 Windham Ct, Suite 3, Boardman, OH 44512-5060

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