SMOKY VALLEY FOOT CENTER PA (NPI# 1154398527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154398527 |
| Entity Type | Organization |
| Organization Name | SMOKY VALLEY FOOT CENTER PA |
| Other Organization Name | SMOKY VALLEY FOOT CENTER PA |
| Practice Address |
515 Ne 10th St Abilene KS 67410-2153 |
| Practice Telephone | 7852636670 |
| Mailing Telephone | 7852630555 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | DR. REBECCA J JOHNSON (OWNER) |
| Authorized Official Telephone | 7852630555 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Smoky Valley Foot Center PA | Doing Business As Name - Organization |
| Street Address |
515 NE 10TH ST |
| City | ABILENE |
| State | KS |
| Zip Code | 67410-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
| 1639698541 | Ashley Marie Moomaw | Nurse Practitioner | 511 Ne 10th Street, Abilene, KS 67410 | 2017-09-12 |
| 1184927139 | Jack Milton Mohler | Physical Medicine & Rehabilitation | 1413 North Van Buren, Abilene, KS 67410 | 2010-12-14 |
| 1053565481 | Deborah Dimmitt Ponton | Social Worker | 1005 N. Buckeye, Abilene, KS 67410 | 2008-11-12 |
| 1134219249 | Jenee' Barth | Optometrist | 311 Nw 3rd, Abilene, KS 67410 | 2006-10-13 |
| 1043264096 | Max Leroy Long | Chiropractor | 417 Nw Third St, Abilene, KS 67410 | 2006-05-22 |
| 1588615454 | Robert Michael Robson | Dentist | 106 Nw 15th St, Abilene, KS 67410 | 2006-05-15 |
| 1114335825 | Curtis F Osland | Emergency Medical Technician, Paramedic | 203 N Broadway, Abilene, KS 67410 | 2014-07-25 |
| 1952401085 | Jarad M. Waite | Optometrist | 311 Nw 3rd St, Abilene, KS 67410 | 2006-09-25 |
| 1770664203 | Auburn Pharmacy Abilene LLC | Durable Medical Equipment & Medical Supplies | 1518 N Buckeye Ave, Abilene, KS 67410-1538 | 2006-10-18 |
| Find all providers in zip 67410 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346558558 | Allan Ganesh Dpm | Podiatrist | 6200 Regional Plaza #1450, Abilene, TX 79606-5259 | 2010-09-22 |
| 1497986202 | Lacey Dawn Clawson | Podiatrist | 6250 Regional Plz Ste 1016, Abilene, TX 79606-5223 | 2009-07-29 |
| 1669647376 | Allan Sebastian Ganesh | Podiatrist | 6200 Regional Plz, Suite# 1450, Abilene, TX 79606-5250 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962859777 | David Sanchez | Podiatrist | 758 S Hillside St Ste 2, Wichita, KS 67211-3038 | 2016-05-21 |
| 1750752960 | Wichita Foot and Ankle Wound Center | Podiatrist | 220 S Hillside St Ste B, Wichita, KS 67211-2151 | 2015-10-14 |
| 1861788275 | Thomas Lyman | Podiatrist | 1230 E 6th Ave Ste 2a, Winfield, KS 67156-3145 | 2011-06-23 |
| 1790965564 | Comprehensive Foot Centers P.a. | Podiatrist | 503 Olive St, Leavenworth, KS 66048-2651 | 2007-11-09 |
| 1386844967 | Fornelli Feet Pa | Podiatrist | 7224 E Bainbridge Ct, Wichita, KS 67226-1140 | 2007-07-20 |
| 1194847947 | Ali R Davis | Podiatrist | 4601 W 109th St Ste 314, Overland Park, KS 66211 | 2007-04-04 |
| 1588765440 | Lawrence R. Gaston, Jr Dpm Pa | Podiatrist | 5100 Bob Billings Parkway, Suite 100, Lawrence, KS 66049-4094 | 2006-09-25 |
| 1770534299 | Dan Edward Robinson | Podiatrist | 4101 S 4th Trafficway, 112a, Leavenworth, KS 66048 | 2006-05-12 |
| 1285616375 | Corin Q Wilde | Podiatrist | 407 E Centennial Dr, Pittsburg, KS 66762-6505 | 2005-11-15 |
| 1619976842 | Lawrence R Gaston Jr. | Podiatrist | 5615 Westfield Dr, Lawrence, KS 66049-3702 | 2005-07-19 |
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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.