TRAVELING FOOT DOCTOR, P.C. (NPI# 1265562623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265562623 |
| Entity Type | Organization |
| Organization Name | TRAVELING FOOT DOCTOR, P.C. |
| Other Organization Name | DONNA KLECKA, DPM |
| Practice Address |
22434 Eagle Glacier Loop P.o. B. 772394-2394 Eagle River AK 99577-9531 |
| Mailing Address |
Po Box 772394 22434 Eagle Glacier Loop Eagle River AK 99577-2394 |
| Practice Telephone | 9076947942 |
| Mailing Telephone | 9076947942 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONNA MARIE KLECKA (OWNER) |
| Authorized Official Telephone | 9076947942 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 3626 | AK | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Donna Klecka, DPM | Doing Business As Name - Organization |
| Street Address |
22434 EAGLE GLACIER LOOP P.O. B. 772394-2394 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-9531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639291776 | Comprehensive Foot & Ankle, Sc | Podiatrist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699862391 | Southeast Foot & Ankle Center Inc | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801 | 2006-10-06 |
| 1023083870 | Manx Quayle | Podiatrist | 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701-7423 | 2006-02-22 |
| 1710976535 | David R Randall | Podiatrist | 4100 Lake Otis Pky Ste 312, Anchorage, AK 99508-5231 | 2005-10-14 |
| 1033441423 | Aurora Foot & Ankle Surgical Specialists, LLC | Podiatrist | 1626 30th Ave Ste 202, Fairbanks, AK 99701 | 2010-02-09 |
| 1700011897 | Alaska Native Tribal Health Consortium | Podiatrist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-05-19 |
| 1639367600 | Anh T Lam | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801-7912 | 2007-10-04 |
| 1407986979 | Brian Kip Coyne | Podiatrist | 11951 E Palmer Wasilla Hwy, Palmer, AK 99645 | 2007-03-06 |
| 1558498402 | Ralph Sylvan Dixon | Podiatrist | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 | 2007-02-27 |
| 1982740668 | Mark C Rindlisbacher | Podiatrist | 800 E Dimond Blvd, Suite 3-417, Anchorage, AK 99515-2061 | 2007-01-29 |
| 1982716387 | Bruce Alan Reddish | Podiatrist | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
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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.