CORAL DESERT FOOT & ANKLE PC (NPI# 1427562719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427562719 |
| Entity Type | Organization |
| Organization Name | CORAL DESERT FOOT & ANKLE PC |
| Practice Address |
355 N Main St Kanab UT 84741-3260 |
| Mailing Address |
1490 E Foremaster Dr Ste 250 St George UT 84790-4501 |
| Practice Telephone | 4356349225 |
| Practice Fax Number | 4356348426 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |
| Authorized Official Name | JEFFREY LEE STEWART (OWNER, DPM) |
| Authorized Official Telephone | 4356349225 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAL DESERT FOOT & ANKLE PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252691 | Coral Desert Foot & Ankle PC | Durable Medical Equipment & Medical Supplies | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2015-08-03 |
| 1548450901 | Coral Desert Foot & Ankle PC | Podiatrist | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2007-07-31 |
| Street Address |
355 N MAIN ST |
| City | KANAB |
| State | UT |
| Zip Code | 84741-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639169832 | David Michael Salter | Family Medicine | 355 N Main St, Kanab, UT 84741-3260 | 2005-10-27 |
| 1720551617 | Chad Cottam | Physical Therapist | 355 N Main St, Kanab, UT 84741-3260 | 2019-01-03 |
| 1477918084 | Wade Nielson | Physical Therapist | 355 N Main St, Kanab, UT 84741-3260 | 2015-12-24 |
| 1689045510 | Clinton T Dowse | Physician Assistant | 355 N Main St, Kanab, UT 84741-3260 | 2015-10-19 |
| 1528445202 | Eric Jonathan Root | Family Medicine | 355 N Main St, Kanab, UT 84741 | 2015-05-01 |
| 1124432992 | Bryson J Hollingshead | Family Medicine | 355 N Main St, Kanab, UT 84741-3260 | 2014-06-19 |
| 1619311974 | Reggie Michael Gillins | Nurse Practitioner | 355 N Main St, Kanab, UT 84741-3260 | 2013-04-17 |
| 1740519370 | Kane County Human Resource Special Service District | General Acute Care Hospital | 355 N Main St, Kanab, UT 84741-3260 | 2009-12-10 |
| 1114253234 | Wayne S Nielson | Physician Assistant | 355 N Main St, Kanab, UT 84741-3260 | 2009-10-23 |
| 1649455122 | Kane County Human Resource Special Service District | Clinic/Center | 355 N Main St, Kanab, UT 84741-3260 | 2008-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970770 | Christa Jean Werlinger | Registered Nurse | 455 North Main Street, Kanab, UT 84741 | 2019-09-06 |
| 1306345889 | Erin Grover | Social Worker | 6746 E Hwy 89, Kanab, UT 84741 | 2018-02-09 |
| 1821546300 | Jessica Jo Stenquist | Social Worker | 6746 East Us89, Kanab, UT 84741 | 2016-09-14 |
| 1306266325 | Roger Patterson | Specialist | 67w 200s, Kanab, UT 84741 | 2014-04-17 |
| 1124308978 | Helen J. Hunter | Registered Nurse | 445 N Main, Kanab, UT 84741 | 2011-08-25 |
| 1821392226 | Total Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 670 S Highway 89a, Suite 1, Kanab, UT 84741 | 2010-12-29 |
| 1952628505 | Weston Marshall Swindlehurst | Nurse Anesthetist, Certified Registered | 355 North Main St, Anesthesia Dept, Kanab, UT 84741 | 2010-04-22 |
| 1619113818 | Sharla Jo Christie | Counselor | 445 N 76 W, Kanab, UT 84741 | 2008-12-18 |
| 1174744650 | Monica Croteau | Case Manager/Care Coordinator | 310 South 100 East, Suite 11, Kanab, UT 84741 | 2007-05-01 |
| 1508949165 | Brandon Stubbs | Physical Therapist | 355 North Main, Kanab, UT 84741 | 2006-10-24 |
| Find all providers in zip 84741 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.