ELITE ANKLE & FOOT (NPI# 1134500044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134500044 |
| Entity Type | Organization |
| Organization Name | ELITE ANKLE & FOOT |
| Practice Address |
1125 Blackhawk Rd Suite D Mt Pleasant UT 84647-2305 |
| Mailing Address |
Po Box 398 Mt Pleasant UT 84647-0398 |
| Practice Telephone | 4354623668 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | TYLER JOLLEY (OWNER) |
| Authorized Official Telephone | 4354623668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1125 BLACKHAWK RD SUITE D |
| City | MT PLEASANT |
| State | UT |
| Zip Code | 84647-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346280955 | Charles E Nunn | Family Medicine | 1125 Blackhawk Rd, Mt Pleasant, UT 84647-2305 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295266559 | Aspiro Adventure LLC | Substance Abuse Rehabilitation Facility | 695 W Wakara Ave, Mt Pleasant, UT 84647 | 2017-03-27 |
| 1073069340 | Sequel Youth Services of Mt. Pleasant | Community Based Residential Treatment Facility, Mental Illness | 1100 South 70 West, Mt. Pleasant, UT 84647 | 2016-08-28 |
| 1780056655 | Linda Dimmick | Registered Nurse | 265 North State Street, Mount Pleasant, UT 84647 | 2015-10-30 |
| 1417201419 | Timothy Roger Stevens | Physician Assistant | 1075 S Hwy 89, Mt Pleasant, UT 84647 | 2012-10-30 |
| 1477819878 | Mt Pleasant Campus | Substance Abuse Rehabilitation Facility | 1170 South 70 West, Mt. Pleasant, UT 84647 | 2012-04-10 |
| 1700946589 | Jan Christer Jonson | Physician Assistant | 1125 Blackhawk Blvd, Central Utah Clinic Family Medicine, Mt Pleasant, UT 84647 | 2006-12-11 |
| 1154411601 | Abc Enterprises I, LLC | Pharmacy | 1050 South Medical Drive Suite B, Mt. Pleasant, UT 84647 | 2006-10-13 |
| 1518908110 | Allen M Day | Family Medicine | 1075 S Highway 89, Mt Pleasant, UT 84647 | 2006-06-08 |
| 1396790465 | Steve Houston Meek | Nurse Anesthetist, Certified Registered | 1100 South Medical Dr, Mt Pleasant, UT 84647 | 2006-05-24 |
| 1770823361 | Eric Randall Jones | Obstetrics & Gynecology | 1100 S Medical Dr, Mount Pleasant, UT 84647 | 2013-02-19 |
| Find all providers in zip 84647 | ||||
| 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 |
|---|---|---|---|---|
| 1043247976 | Mark D Young | Podiatrist | 405 S Mission, Ste 2, Mt Pleasant, MI 48858 | 2006-06-27 |
| 1174503619 | John Kevin Hart | Podiatrist | 209 S White St, Mt Pleasant, IA 52641-2157 | 2006-01-19 |
| 1508844945 | Timothy John Kowalczyk | Podiatrist | 220 Bessemer Rd, Mt Pleasant, PA 15666-9122 | 2006-01-05 |
| 1134110976 | Joyce A Farmer, D.p.m. P.C. | Podiatrist | 609 N Church St, Mt Pleasant, PA 15666-1002 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589258 | Valley Foot & Ankle | Podiatrist | 777 N 500 W Ste 103, Provo, UT 84601-1552 | 2018-08-24 |
| 1821514191 | Foot & Ankle Institute of Utah LLC | Podiatrist | 3584 W 9000 S Ste 301, West Jordan, UT 84088-5711 | 2017-08-18 |
| 1447771993 | Ihc Health Services Inc | Podiatrist | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1043745987 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 150 N Main St Ste 202, Heber City, UT 84032-1671 | 2017-04-28 |
| 1205214053 | Elizabeth Tronstein | Podiatrist | 8822 S Redwood Rd Ste E121, West Jordan, UT 84088-5763 | 2015-05-13 |
| 1063807485 | Salt Lake Foot and Ankle Pllc | Podiatrist | 315 W Reed Ave, Unit 1, Salt Lake City, UT 84103-1492 | 2015-04-02 |
| 1881091601 | Ingrown Toenails Only | Podiatrist | 4019 W 12600 S Ste 120b, Riverton, UT 84096-7401 | 2014-11-21 |
| 1750794533 | Scott Humpherys, Dpm Inc | Podiatrist | 1355 N. University Ave, #125, Provo, UT 84604-2722 | 2014-06-09 |
| 1508115080 | Richard Eason Dpm PC | Podiatrist | 2269 W Bonanza Ct, South Jordan, UT 84095-8903 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 84647 |
Please comment or provide details below to improve the information on ELITE ANKLE & FOOT.
| 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.