ANKLE & FOOT CARE CLINIC, PC (NPI# 1063786077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063786077 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT CARE CLINIC, PC |
| Practice Address |
2831 Fort Missoula Rd Ste 302 Missoula MT 59804-7401 |
| Practice Telephone | 4067211171 |
| Practice Fax Number | 4067210622 |
| Mailing Telephone | 4067211171 |
| Mailing Fax Number | 4067210622 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | DR. FLYNN SHERICK (PRESIDENT) |
| Authorized Official Telephone | 4067211171 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 88 | MT | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
88 | MT | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 88 | MT | Suppliers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
88 | MT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2831 FORT MISSOULA RD STE 302 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992365951 | Missoula Family Medicine Pllc | Family Medicine | 2831 Fort Missoula Rd Ste 302, Missoula, MT 59804-7401 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902053358 | Michael Brendan James Reed | Podiatrist | 2825 Stockyard Rd Ste J1, Missoula, MT 59808-1548 | 2008-08-27 |
| 1245243807 | Nathan B Thomas | Podiatrist | 110 South Ave West, Missoula, MT 59801 | 2006-08-14 |
| 1366424186 | Kevin E Whitton | Podiatrist | 110 South Ave W, Missoula, MT 59801-8116 | 2005-11-17 |
| 1396191516 | Brian Schenavar | Podiatrist | 2825 Stockyard Rd Ste J1, Missoula, MT 59808-1548 | 2016-05-05 |
| 1659528263 | Karl Joseph Mangold | Podiatrist | 2825 Stockyard Rd, Suite J-1, Missoula, MT 59808-1503 | 2008-08-26 |
| 1114050481 | Beighle & Associates | Podiatrist | 2825 Fort Missoula Rd, Suite 106, Missoula, MT 59804-7420 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300619 | Big Sky Foot & Ankle Institute, Inc | Podiatrist | 401 S Alabama St Ste 10, Butte, MT 59701-2358 | 2016-08-05 |
| 1154704377 | Thomas Wright | Podiatrist | 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715-5879 | 2015-07-07 |
| 1154737344 | Merrell Kauwe | Podiatrist | 1690 Rimrock Rd Ste L, Billings, MT 59102-0700 | 2014-07-08 |
| 1841633799 | Dallin Greene | Podiatrist | 401 S Alabama St Ste 10-11, Butte, MT 59701-2315 | 2013-04-10 |
| 1891059556 | Bijan Andrade | Podiatrist | 108 N 11th Ave Ste 2, Bozeman, MT 59715-3264 | 2012-06-27 |
| 1245520899 | Brian K Church | Podiatrist | 310 Wendell Ave Ste 5, Lewistown, MT 59457-2267 | 2011-04-17 |
| 1134360126 | Joel Charles Rutherford | Podiatrist | 77 Lily Valley Cir, Billings, MT 59105-2368 | 2009-03-20 |
| 1144404401 | Bozeman Podiatric Clinic Inc | Podiatrist | 300 N Willson Ave Ste 801h, Bozeman, MT 59715-3551 | 2007-12-21 |
| 1275668071 | Billings Foot and Ankle | Podiatrist | 71 25th St W, Suite 12, Billings, MT 59102-4684 | 2007-02-22 |
| 1144371238 | David Lee Neumann | Podiatrist | 604 California Ave, Libby, MT 59923-1902 | 2007-01-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.