FAMILY FOOT & ANKLE (NPI# 1083144406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083144406 |
Entity Type | Organization |
Organization Name | FAMILY FOOT & ANKLE |
Practice Address |
491 N Main St Tooele UT 84074-1654 |
Mailing Address |
1332 E 630 S Tooele UT 84074-4436 |
Practice Telephone | 5152055635 |
Mailing Telephone | 5152055635 |
Enumeration Date | 2017-06-18 |
Last Update Date | 2017-06-18 |
Authorized Official Name | JEFFREY LYNN CARLSON (PODIATRIST) |
Authorized Official Telephone | 5152055635 |
Authorized Official Credential | DPM |
Is Organization Subpart | Y |
Parent Organization Name | FAMILY FOOT & ANKLE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
7054576-0501 | UT | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | FAMILY FOOT & ANKLE CARE OF JASPER, P.C. | 998 W 13th St, Jasper, IN 47546 |
Street Address |
491 N MAIN ST |
City | TOOELE |
State | UT |
Zip Code | 84074-1654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154325991 | Brand Paxton Reynolds | Nurse Practitioner | 491 N Main St, Tooele, UT 84074 | 2005-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
Find all providers in zip 84074 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952893703 | Brockbank Foot & Ankle Clinic PC | Clinic/Center | 9690 S 1300 E Ste 120, Sandy, UT 84094-3798 | 2018-06-06 |
1366618688 | Sugarhouse Foot Care Inc | Clinic/Center | 2435 Highland Dr, Salt Lake City, UT 84106-2709 | 2008-05-06 |
1487272365 | Cook Foot and Ankle Specialists LLC | Clinic/Center | 935 N 1000 W, Tremonton, UT 84337-9356 | 2020-07-08 |
1790243111 | Novacel | Clinic/Center | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117-7168 | 2019-03-05 |
1922476282 | Summit Foot and Ankle Specialists | Clinic/Center | 3000 N Triumph Blvd, Suite 340, Lehi, UT 84043-4999 | 2015-09-03 |
1629445473 | Summit Foot and Ankle Specialists | Clinic/Center | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2015-08-27 |
1366819112 | Summit Foot and Ankle Specialists | Clinic/Center | 1355 N University Ave, Suite 125, Provo, UT 84604-2721 | 2015-08-27 |
1467843698 | Ellsworth Foot and Ankle Clinics, LLC | Clinic/Center | 1377 E 3900 S, Suite 100, Salt Lake City, UT 84124-1476 | 2015-02-10 |
1710395140 | Arches Foot and Ankle Clinic Pllc | Clinic/Center | 179 N 1200 E Ste 103, Lehi, UT 84043-2255 | 2014-07-29 |
1922334317 | Craig J Campbell Dpm PC | Clinic/Center | 5255 S 4015 W, Suite 140, Salt Lake City, UT 84129-4258 | 2009-10-20 |
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.