FIVE STAR FEET, LLC


Address: 2525 Road 218, Cheyenne, WY 82009-9103
Phone: 2629605101

FIVE STAR FEET, LLC (NPI# 1801286778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801286778
Entity Type Organization
Organization Name FIVE STAR FEET, LLC
Practice Address 2525 Road 218
Cheyenne
WY 82009-9103
Practice Telephone 2629605101
Mailing Telephone 2629605101
Enumeration Date 2015-01-30
Last Update Date 2015-01-30
Authorized Official Name DR. BENJAMIN J. WILLIS (DOCTOR OF PODIATRIC MEDICINE)
Authorized Official Telephone 2629605101
Authorized Official Credential D.P.M.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
147 WY Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 2525 ROAD 218
City CHEYENNE
State WY
Zip Code 82009-9103

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1659840841 King & Associates LLC Private Vehicle 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 2018-11-16
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1912442682 Lindsey Thurmes Mccoy Dietitian, Registered 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 2017-01-04
1306380696 Alexandra Gill Social Worker 3304 East 1-80 Service Rd., Cheyenne, WY 82009 2016-12-06
1104213859 Jennifer Schwartz Specialist 2601 Plain View Rd, Cheyenne, WY 82009 2015-04-21
1861830465 Tyler Boyd Dentist 7209 Commons Cir Unit A, Cheyenne, WY 82009 2013-06-05
1639513351 Gene E Darnell Pharmacist 3702 Del Range Blvd, Cheyenne, WY 82009 2013-04-24
1376891952 Robert R Kanard Internal Medicine 714 Edward Dr, Cheyenne, WY 82009 2012-08-29
1639443336 Jennifer Alam Case Manager/Care Coordinator 3304 E. I80 Service Rd, Cheyenne, WY 82009 2012-02-28
1376815357 Christina Kay Brown Licensed Practical Nurse 3304 E I80 Service Rd, Cheyenne, WY 82009 2012-02-06
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992820781 Rick B Roper Podiatrist 2029 Bluegrass Circle, Suite 2, Cheyenne, WY 82009-7369 2007-03-20
1497857262 Tyler Ann Marshall Podiatrist 2360 E Pershing Blvd, Cheyenne, WY 82010-0001 2006-09-02
1194837658 Associated Podiatrists, P.C. Podiatrist 2029 Bluegrass Cir, Ste 200, Cheyenne, WY 82009-7368 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700060902 Evanston Family Foot Care Podiatrist 1565 Highway 150 South, Suite C, Evanston, WY 82930-5348 2007-12-24
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
1760824502 Advanced Foot Care Podiatrist 1303 E Grand Ave, Laramie, WY 82070-4137 2013-07-22
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
1932118189 Craig S Capron Podiatrist 111 S 5th St, Douglas, WY 82633-2434 2006-08-05
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Competitor

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City CHEYENNE
Zip Code 82009

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Dataset Information

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.

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