SPENCER FOOT AND ANKLE CLINIC INC (NPI# 1366649204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366649204 |
| Entity Type | Organization |
| Organization Name | SPENCER FOOT AND ANKLE CLINIC INC |
| Practice Address |
417 S East St Corydon IA 50060-1860 |
| Mailing Address |
110 E Mclane St Osceola IA 50213-1457 |
| Practice Telephone | 6418722462 |
| Practice Fax Number | 6413422292 |
| Mailing Telephone | 6413426054 |
| Mailing Fax Number | 6413422292 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD BRUCE SPENCER (PRESIDENT) |
| Authorized Official Telephone | 6413426054 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
00413 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BLUE CROSS BLUE | 55877 | 01 |
| IA | 4214171 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124228994 | Spencer Foot and Ankle Clinic Inc | Durable Medical Equipment & Medical Supplies | 110 E Mclane St, Osceola, IA 50213-1457 | 2007-07-20 |
| 1205036076 | Spencer Foot and Ankle Clinic Inc | Durable Medical Equipment & Medical Supplies | 1332 E Main St, Lamoni, IA 50140-6311 | 2007-07-20 |
| 1518164078 | Spencer Foot and Ankle Clinic Inc | Durable Medical Equipment & Medical Supplies | 1200 N 7th St, Chariton, IA 50049-1210 | 2007-06-28 |
| Street Address |
417 S EAST ST |
| City | CORYDON |
| State | IA |
| Zip Code | 50060-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627323 | Babar S. Ahmed | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2005-08-24 |
| 1265042055 | Adam Rowland | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1860 | 2020-08-06 |
| 1649880451 | Angela M Downs | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1835 | 2020-08-06 |
| 1114568870 | Kelcey Diane Leopard | Registered Nurse | 417 S East St, Corydon, IA 50060-1835 | 2019-10-03 |
| 1740764661 | Cortney Serene Wilson | Specialist/Technologist, Other | 417 S East St, Corydon, IA 50060-1860 | 2018-09-17 |
| 1386149680 | Rachel Mcilwain | Dietitian, Registered | 417 S East St, Corydon, IA 50060-1835 | 2018-03-28 |
| 1174937494 | Stephanie Jo Perkins Mahan | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2014-06-14 |
| 1730518150 | Southern Iowa Orthopedics LLC | Podiatrist | 417 S East St, Corydon, IA 50060-1860 | 2013-11-06 |
| 1447500418 | Lk Madison Md LLC | Radiology | 417 S East St, Corydon, IA 50060-1860 | 2012-09-17 |
| 1457608911 | Nicole Marie Ruble | Physician Assistant | 417 S East St, Corydon, IA 50060-1860 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922214246 | Deborah Nadarevic | Pharmacist | Your Neighborhood Pharmacy, 510 E. Jefferson Street Suite A, Corydon, IA 50060 | 2007-05-15 |
| 1669697074 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 102-104 North Franklin St, Corydon, IA 50060 | 2007-04-13 |
| 1336290030 | Wolfe Clinic Eye Centers, Lc | Eyewear Supplier (Equipment, not the service) | 212 N Franklin Street, Corydon, IA 50060 | 2007-01-16 |
| 1912067455 | C and J Quality Jobs LLC | Contractor | 610 West Maple St, Corydon, IA 50060 | 2006-12-12 |
| 1417941188 | Debra Kay Neuharth | Family Medicine | 410 South Lincoln St, Corydon, IA 50060 | 2005-09-08 |
| 1922090752 | Charles A Clark | Optometrist | 212 N Franklin St, Corydon, IA 50060-1328 | 2005-08-18 |
| 1255488938 | Wayne Community School District | Local Education Agency (LEA) | 102 N Dekalb St, Corydon, IA 50060-1403 | 2007-01-04 |
| 1720607401 | Duane P Schmaltz | Pharmacist | 105 E Jackson St, Corydon, IA 50060-1408 | 2020-04-13 |
| 1669887642 | Hy Vee Inc | Pharmacy | 105 E Jackson St, Corydon, IA 50060-1408 | 2014-06-27 |
| 1336132588 | Corydon Pharmacy Inc | Pharmacy | 104 S Franklin St, Corydon, IA 50060-1518 | 2005-08-23 |
| Find all providers in zip 50060 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1932689494 | John Bryan Brunow | Durable Medical Equipment & Medical Supplies | 208 E Lincoln Way, Jefferson, IA 50129 | 2018-08-15 |
| 1467994913 | Siouxland Sleep Solutions | Durable Medical Equipment & Medical Supplies | 1311 Hawkeye Ave Sw, Le Mars, IA 51031-1866 | 2016-11-15 |
| 1184072555 | Ames Center for Cosmetic and Family Dentistry PC | Durable Medical Equipment & Medical Supplies | 415 S Duff Ave Ste D, Ames, IA 50010-6600 | 2016-05-26 |
| 1003284936 | Jva Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 4701 J St Sw, Cedar Rapids, IA 52404-4911 | 2015-09-09 |
| 1821480302 | Iowa Physical Therapy, P.C. | Durable Medical Equipment & Medical Supplies | 2750 1st Ave Ne Ste 200, Cedar Rapids, IA 52402-4831 | 2015-02-20 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1255740387 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3100 Se Grimes Blvd Ste 600, Grimes, IA 50111-5052 | 2014-08-02 |
| 1790047967 | Douglas R. Pick Plc | Durable Medical Equipment & Medical Supplies | 1250 Nw 142nd St Ste 201, Clive, IA 50325-8346 | 2012-06-13 |
| 1710219852 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 10052 Justin Dr, Suite G, Urbandale, IA 50322-3876 | 2010-01-30 |
| 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.