SALT LAKE FOOT AND ANKLE PLLC (NPI# 1063807485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063807485 |
Entity Type | Organization |
Organization Name | SALT LAKE FOOT AND ANKLE PLLC |
Practice Address |
315 W Reed Ave Unit 1 Salt Lake City UT 84103-1492 |
Practice Telephone | 8014196206 |
Mailing Telephone | 8014196206 |
Enumeration Date | 2015-04-02 |
Last Update Date | 2015-04-02 |
Authorized Official Name | DR. BIJAN J ANDRADE (MANAGER) |
Authorized Official Telephone | 8014196206 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 345724-0501 | UT | Podiatric Medicine & Surgery Service Providers |
Street Address |
315 W REED AVE UNIT 1 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84103-1492 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
Find all providers in zip 84103 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689778771 | Robbe T Rigby | Podiatrist | 2435 S Highland Dr, Salt Lake City, UT 84106 | 2006-09-11 |
1538171467 | Annemarie A. Edwards | Podiatrist | 1955 E. 5600 S., Salt Lake City, UT 84121-1372 | 2006-08-12 |
1679590558 | Elizabeth E Auger | Podiatrist | 3920 South 1100 East, Ste 115, Salt Lake City, UT 84124 | 2006-07-16 |
1619965225 | H Ronald Brown | Podiatrist | 4370 S Redwood Rd #b, Salt Lake City, UT 84123-2223 | 2005-10-07 |
1215463724 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 144 S 700 E, Salt Lake City, UT 84102-1357 | 2017-05-03 |
1851826721 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 4578 S Highland Dr, #380, Salt Lake City, UT 84117-4243 | 2017-04-27 |
1235526682 | Taylor G Wright P.C. | Podiatrist | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117 | 2015-04-23 |
1174942460 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 430 N 400 W, Salt Lake City, UT 84103-1229 | 2014-04-15 |
1538500731 | Anna L Hronek | Podiatrist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2013-07-16 |
1043659055 | Benjamin Arthur Thomas | Podiatrist | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2013-06-24 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84103 |
Please comment or provide details below to improve the information on SALT LAKE FOOT AND ANKLE PLLC.
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.