FOOT AND ANKLE INSTITUTE OF COLORADO, PC (NPI# 1003294083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003294083 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE INSTITUTE OF COLORADO, PC |
| Practice Address |
1465 Kelly Johnson Blvd Ste 100 Colorado Springs CO 80920-3945 |
| Practice Telephone | 7194884664 |
| Practice Fax Number | 7194884667 |
| Mailing Telephone | 7194884664 |
| Mailing Fax Number | 7194884667 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. MATTHEW DIEHL HINDERLAND (PODIATRIST) |
| Authorized Official Telephone | 7194884664 |
| 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 |
707 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 40585042 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Foot and Ankle Institute of Colorado, PC | 1465 Kelly Johnson Blvd, Suite 100, Colorado Springs, CO 80920 |
| Street Address |
1465 KELLY JOHNSON BLVD STE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033203138 | Jerry Levi Jr. | Chiropractor | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2006-10-03 |
| 1134583172 | Darrick Richard Dominick | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2016-04-06 |
| 1003050899 | Matthew Diehl Hinderland | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2009-04-24 |
| 1265599666 | Jeremy Oborny | Chiropractor | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042841 | Hainge Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Springs, CO 80907-4916 | 2006-12-27 |
| 1235176546 | Bryan Alan Groth | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2006-06-02 |
| 1275517872 | Fred James Gremillion | Podiatrist | 3100 N Academy Blvd, Suite #115, Colorado Springs, CO 80917-5321 | 2005-12-06 |
| 1114921731 | Nicholas Sol | Podiatrist | 5014 El Camino Dr, The Walking Clinic, PC, Colorado Springs, CO 80918-2106 | 2005-06-10 |
| 1598396889 | Optumcare Colorado Springs, LLC | Podiatrist | 5014 El Camino Dr, Colorado Springs, CO 80918-2104 | 2020-01-27 |
| 1003362450 | Mcvay Foot & Ankle, PC | Podiatrist | 6160 Tutt Blvd, Ste 150, Colorado Springs, CO 80923-3500 | 2016-08-26 |
| 1134583172 | Darrick Richard Dominick | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2016-04-06 |
| 1851769152 | Teague Gearhart | Podiatrist | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2015-09-03 |
| 1457746844 | Travis Kotter | Podiatrist | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920 | 2015-04-01 |
| 1356743447 | Tiffany Liu | Podiatrist | 8580 Scarborough Dr Ste 120, Colorado Springs, CO 80920-7583 | 2014-09-19 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on FOOT AND ANKLE INSTITUTE OF COLORADO, PC.
| 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.