Individual
DR. CONSTANTINE NICHOLAS CANOUTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11 MILLS AVENUE, GREENVILLE, SC 29605
(864) 232-3668
(864) 271-0526
Mailing address
11 MILLS AVENUE, GREENVILLE, SC 29605
(864) 232-3668
(864) 271-0526
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC520
SC
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC520
SC
213ES0103X
Foot & Ankle Surgery Podiatrist
SC520
SC
213ES0131X
Foot Surgery Podiatrist
SC520
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D593
MEDICARE PTAN
SC
05
—
GP9955
—
SC
Enumeration date
05/31/2006
Last updated
08/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us