ADVANCED FOOT CARE (NPI# 1760824502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760824502 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT CARE |
| Practice Address |
1303 E Grand Ave Laramie WY 82070-4137 |
| Practice Telephone | 3077210022 |
| Practice Fax Number | 3077214866 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | DR. TIMOTHY MATTHEW FISHER (PODIATRIST) |
| Authorized Official Telephone | 3077210022 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
113 | WY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 121842500 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED FOOT CARE | 1475 Commercial St Se, Salem, OR 97302 |
| Street Address |
1303 E GRAND AVE |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598290116 | Happy Feet Podiatry PC | Clinic/Center | 1303 E Grand Ave, Laramie, WY 82070-4137 | 2017-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801286778 | Five Star Feet, LLC | Podiatrist | 2525 Road 218, Cheyenne, WY 82009-9103 | 2015-01-30 |
| 1700060902 | Evanston Family Foot Care | Podiatrist | 1565 Highway 150 South, Suite C, Evanston, WY 82930-5348 | 2007-12-24 |
| 1992820781 | Rick B Roper | Podiatrist | 2029 Bluegrass Circle, Suite 2, Cheyenne, WY 82009-7369 | 2007-03-20 |
| 1518037043 | Eric M Dash | Podiatrist | 1916 E 1st St, Suite 1, Casper, WY 82601-2777 | 2006-11-09 |
| 1023404514 | Utah Podiatry Group PC | Podiatrist | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2015-04-10 |
| 1568710598 | The Foot Clinic LLC | Podiatrist | 1916 E 1st St, Casper, WY 82601-2777 | 2012-08-23 |
| 1639459068 | Jason K Kane | Podiatrist | 132 N Gould St, Sheridan, WY 82801-3928 | 2011-08-17 |
| 1003050253 | Big Horn Foot Clinic, PC | Podiatrist | 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9318 | 2009-04-30 |
| 1922241181 | Lael J. Beachler | Podiatrist | 777 Avenue H, Powell, WY 82435-2260 | 2009-04-16 |
| 1912057290 | Aaron Deane Donaldson | Podiatrist | 1005 College View Dr, Riverton, WY 82501-2266 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
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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.