Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Arthroscopic Foot & Ankle Associates, Inc

Organization Family Medicine Physician · NPI 1659638104

Advanced Arthroscopic Foot & Ankle Associates, Inc is a Family Medicine Physician 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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