SUMMIT FOOT AND ANKLE SPECIALISTS (NPI# 1366819112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366819112 |
| Entity Type | Organization |
| Organization Name | SUMMIT FOOT AND ANKLE SPECIALISTS |
| Practice Address |
1355 N University Ave Suite 125 Provo UT 84604-2721 |
| Practice Telephone | 8017841111 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | RYAN ELLSWORTH (OWNER) |
| Authorized Official Telephone | 8017841111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
1355 N UNIVERSITY AVE SUITE 125 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414744 | Traer Gary Caywood | Optometrist | 1355 N University Ave, Suite 100, Provo, UT 84604-2721 | 2005-08-18 |
| 1841834975 | Alec Devlyn Barrow | Counselor | 1355 N University Ave, Provo, UT 84604-2721 | 2019-11-01 |
| 1194388215 | Nathan Sewell | Psychologist | 1355 N University Ave, Provo, UT 84604-2721 | 2019-04-15 |
| 1366970774 | Timothy James Seiter | Optometrist | 1355 N University Ave, Provo, UT 84604-2721 | 2017-05-30 |
| 1588039861 | Steven K. Flick Dmd, PC | Dentist | 1355 N University Ave, 310, Provo, UT 84604-2721 | 2015-12-11 |
| 1326428061 | Garr Foot & Ankle Pllc | Podiatrist | 1355 N University Ave, Ste 125, Provo, UT 84604-2721 | 2015-06-08 |
| 1366830796 | Alicia A Henderson | Psychologist | 1355 N University Ave, Provo, UT 84604-2721 | 2015-01-08 |
| 1497168975 | Provo Dental Care LLC | Clinic/Center | 1355 N University Ave, Suite 330, Provo, UT 84604-2721 | 2014-06-03 |
| 1285980094 | Randy Garr | Podiatrist | 1355 N University Ave, Ste 125, Provo, UT 84604-2721 | 2012-07-30 |
| 1710255336 | Alan R Jacob | Counselor | 1355 N University Ave, Suite 200, Provo, UT 84604-2721 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306092812 | Kelly A Gomez Dpm PC | Clinic/Center | 777 N 500 W, Suite 105, Provo, UT 84601-1541 | 2008-08-15 |
| 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 |
| 1083144406 | Family Foot & Ankle | Clinic/Center | 491 N Main St, Tooele, UT 84074-1654 | 2017-06-18 |
| 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 |
| 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.