ELITE FOOT & ANKLE CLINIC (NPI# 1720428626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720428626 |
| Entity Type | Organization |
| Organization Name | ELITE FOOT & ANKLE CLINIC |
| Practice Address |
3655 E 104th Ave Suite B Thornton CO 80233-4469 |
| Mailing Address |
3879 E 120th Ave #337 Thornton CO 80233-1658 |
| Practice Telephone | 7203282022 |
| Practice Fax Number | 7203281224 |
| Mailing Telephone | 7203282022 |
| Mailing Fax Number | 7203281224 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | STACI BOGIN (PODIATRIST/OWNER) |
| Authorized Official Telephone | 3234817597 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
POD-698 | CO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3655 E 104TH AVE SUITE B |
| City | THORNTON |
| State | CO |
| Zip Code | 80233-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732022 | Philip J Rosenblum | Family Medicine | 3655 E 104th Ave, Suite A, Thornton, CO 80233-4469 | 2005-07-07 |
| 1699070227 | Colorado Sleep Company | Clinical Medical Laboratory | 3655 E 104th Ave, Suite C, Thornton, CO 80233-4469 | 2011-01-12 |
| 1902119902 | Staci Bogin | Podiatrist | 3655 E 104th Ave, Suite B, Thornton, CO 80233-4469 | 2010-07-19 |
| 1730316506 | Diana N Keiling | Physician Assistant | 3655 E 104th Ave, Thornton, CO 80233-4469 | 2009-06-18 |
| 1669647764 | Aftercare Colorado, LLC | Clinic/Center | 3655 E 104th Ave, Thornton, CO 80233-4469 | 2008-04-29 |
| 1538334354 | Arbor After Hours | Clinic/Center | 3655 E 104th Ave, Thornton, CO 80233-4469 | 2008-04-23 |
| 1235276528 | Kent Schreiber | Family Medicine | 3655 E 104th Ave, Thornton, CO 80233-4469 | 2007-01-30 |
| 1013075423 | Melanie Anicee Anderson | Physician Assistant | 3655 E 104th Ave, Thornton, CO 80233-4469 | 2006-12-05 |
| 1699849315 | Gina Stecina Bolinger | Physician Assistant | 3655 E 104th Ave, Thornton, CO 80233-4469 | 2006-11-17 |
| 1871514901 | Arbor Family Medicine | Family Medicine | 3655 E 104th Ave, Suite A, Thornton, CO 80233-4469 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316404874 | Colorado Footcare, LLC | Podiatrist | 2270 S Vaughn Way Apt 201, Aurora, CO 80014-1340 | 2019-02-20 |
| 1912052564 | David J Giffin | Podiatrist | 6342 S Poplar Ct, Centennial, CO 80111-4656 | 2007-01-24 |
| 1043227390 | John S Jachimiak | Podiatrist | 2575 Pearl St, Suite 240, Boulder, CO 80302-3851 | 2006-08-01 |
| 1164458006 | Michael I Thomas | Podiatrist | 1355 Riverside Ave Ste C, Fort Collins, CO 80524-4366 | 2006-06-23 |
| 1033199070 | Tim Carlsen | Podiatrist | 2620 Tenderfoot Hill St, Suite 10, Colorado Springs, CO 80906-3981 | 2006-01-17 |
| 1548240609 | Jennifer V Yull | Podiatrist | 2975 Broadmoor Valley Rd, Suite 104, Colorado Springs, CO 80906-4466 | 2006-01-17 |
| 1952714313 | Zeno Pfau | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2014-06-03 |
| 1336550565 | Garrett D Moore | Podiatrist | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2014-05-09 |
| 1073931275 | Edward Chesnutis IIi | Podiatrist | 1721 E 19th Ave Ste 520, Denver, CO 80218-1243 | 2014-04-03 |
| 1003083841 | Cheyenne Foot & Ankle Inc | Podiatrist | 1335 Phay Ave, Suite D, Canon City, CO 81212-2334 | 2008-05-12 |
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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.