SWFAC PLC


Address: 103 North Ave, Council Bluffs, IA 51503
Phone: 7123225800

SWFAC PLC (NPI# 1902018112) 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) 1902018112
Entity Type Organization
Organization Name SWFAC PLC
Other Organization Name SOUTHWEST FOOT AND ANKLE CENTER PLC
Practice Address 103 North Ave
Council Bluffs
IA 51503
Mailing Address 502 E Reed St
Red Oak
IA 51566
Practice Telephone 7123225800
Practice Fax Number 7123228172
Mailing Telephone 7126235178
Mailing Fax Number 7126232703
Enumeration Date 2007-05-03
Last Update Date 2020-08-22
Authorized Official Name ANDREW C STANISLAV (OWNER)
Authorized Official Telephone 7126235178
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0429761 05

Other Provider/Organization Names

Other Name Type Code
Southwest Foot and Ankle Center PLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952846321 Swfac Plc Podiatrist 631 N. 8th St., Missouri Valley, IA 51555 2016-12-21
1811367535 Swfac Plc Podiatrist 1101 East 7th Street, Atlantic, IA 50022 2015-10-07
1912119124 Swfac Plc Podiatrist 813 Church St., Shenandoah, IA 51601 2007-05-03
1194937391 Swfac Plc Podiatrist 1610 W Townline, Creston, IA 50801 2007-05-03
1083084792 Swfac Plc Podiatrist 1301 Grundman Blvd., Nebraska City, NE 68410 2015-10-07
1013029081 Swfac Plc Podiatrist 502 E Reed St, Red Oak, IA 51566-2350 2006-08-31

Office Location

Street Address 103 NORTH AVE
City COUNCIL BLUFFS
State IA
Zip Code 51503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679989107 Rogge Chiropractic Clinic Chiropractor 103 North Ave, Ste. 4, Council Bluffs, IA 51503-1670 2014-07-03
1942553383 Rogge Family Chiropractic Healing Center LLC Chiropractor 103 North Ave, Suite 4, Council Bluffs, IA 51503-1670 2012-10-23
1912175878 Deanna Jean Rogge Chiropractor 103 North Ave, Ste 4, Council Bluffs, IA 51503-1670 2008-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326654377 Michael Menendez Counselor N 6th Street and Ave E, Council Bluffs, IA 51503 2020-09-16
1417598301 Katherine E Turner Counselor 2303 Butler Street, Council Bluffs, IA 51503 2019-10-02
1992354666 Phs Council Bluffs, Inc Skilled Nursing Facility 16 Valley View Drive, Council Bluffs, IA 51503 2019-09-05
1629429451 Nathan Charles Shumway Podiatrist 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 2016-06-22
1699131797 Bluffs Pain Management LLC Pain Medicine 201 Ridge St Suite 102, Council Bluffs, IA 51503 2016-01-06
1811246903 Georgia Ann Boeck Hearing Instrument Specialist 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 2012-09-05
1790055796 Wendy Jane'e Zenor Licensed Practical Nurse 1525 Rolling Hills Loop, Council Bluffs, IA 51503 2012-01-06
1649579186 Mohana K Loya Internal Medicine 933 E Pierce St., Council Bluffs, IA 51503 2011-03-23
1568761369 Brenda Kay Sennett Occupational Therapist 1600 Mcpherson Avenue, Council Bluffs, IA 51503 2011-03-18
1710129671 Heart Lung and Vascular Surgery PC Specialist 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 2009-03-24
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366494619 William Francis Hughes Podiatrist 1816 W Broadway, Council Bluffs, IA 51501-3815 2006-05-16
1467635318 Edward N Prikaszczikow Podiatrist 320 Mckenzie Ave, #102, Council Bluffs, IA 51503-1002 2007-12-14
1639177041 Inderjit Singh Panesar Podiatrist 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503-4619 2005-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235744749 Foot and Ankle Specialists of Ames, LLC Podiatrist 1606 S Duff Ave Ste 500, Ames, IA 50010-8156 2020-09-11
1659842045 Iowa Foot Care Center LLC Podiatrist 217 Duff Ave Ste 2, Ames, IA 50010-6609 2018-12-10
1114417078 Heartland Foot & Ankle Clinic PC Podiatrist 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 2018-05-16
1104316108 Family Foot Care Clinic, PC Podiatrist 3200 F Avenue Nw, Cedar Rapids, IA 52405 2018-05-15
1952846321 Swfac Plc Podiatrist 631 N. 8th St., Missouri Valley, IA 51555 2016-12-21
1811367535 Swfac Plc Podiatrist 1101 East 7th Street, Atlantic, IA 50022 2015-10-07
1578946018 Donald Godfree Jr. Podiatrist 3600 30th St Dept Of, Des Moines, IA 50310-5753 2015-07-01
1811303480 Jennifer Lee Hall Podiatrist 5950 University Ave Ste 160, West Des Moines, IA 50266 2014-07-03
1760894323 Drew Michael Davidson Podiatrist 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 2014-05-29
1609201227 Patricia A Russo Podiatrist 2958 Ingram Ave, Melbourne, IA 50162-9559 2013-09-13
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Competitor

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City COUNCIL BLUFFS
Zip Code 51503

Improve Information

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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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