AP FOOT AND ANKLE SPECIALISTS PC (NPI# 1386769784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386769784 |
| Entity Type | Organization |
| Organization Name | AP FOOT AND ANKLE SPECIALISTS PC |
| Practice Address |
509 Colorado Ave Suite D Pueblo CO 81004-2008 |
| Mailing Address |
Po Box 3026 Pueblo CO 81005-0026 |
| Practice Telephone | 7195445958 |
| Practice Fax Number | 7195445991 |
| Mailing Telephone | 7195445958 |
| Mailing Fax Number | 7195445991 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. ARLIN RAY PETERSON (OWNER) |
| Authorized Official Telephone | 7195445958 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
648 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD | DD7813 | 01 | |
| CO | 19907541 | 05 |
| Street Address |
509 COLORADO AVE SUITE D |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721544 | Arlin Ray Peterson | Podiatrist | 509 Colorado Ave, Ste D, Pueblo, CO 81004-2008 | 2005-12-20 |
| 1750789970 | David Chartrand | Hearing Instrument Specialist | 509 Colorado Ave, Suite A, Pueblo, CO 81004-2008 | 2014-12-22 |
| 1528215373 | Barbara L Campbell | Counselor | 509 Colorado Ave, Suite B, Pueblo, CO 81004-2008 | 2008-08-23 |
| 1215104708 | Marla J. Lucero | Counselor | 509 Colorado Ave, Suite B, Pueblo, CO 81004-2008 | 2008-05-13 |
| 1639346570 | Jaelee Ann Fetrow | Social Worker | 509 Colorado Ave, Suite B, Pueblo, CO 81004-2008 | 2008-05-09 |
| 1689840761 | Sharon Elizabeth Richardson | Counselor | 509 Colorado Ave, Suite B, Pueblo, CO 81004-2008 | 2008-05-07 |
| 1770758138 | Lenore A Senior | Counselor | 509 Colorado Ave, Suite B, Pueblo, CO 81004-2008 | 2008-04-28 |
| 1215137021 | Center for Grief & Loss Counseling and Education | Community/Behavioral Health | 509 Colorado Ave, Suite B, Pueblo, CO 81004-2008 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275898355 | Sarah Mae Thompson | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2012-07-05 |
| 1881638070 | Gordon Paul Rheaume | Podiatrist | 1513 Moore Ave, Pueblo, CO 81005-2346 | 2006-06-16 |
| 1104181148 | Eric Andrew Lewis | Podiatrist | 1619 N Greenwood St, Suite 300, Pueblo, CO 81003-2644 | 2012-07-05 |
| 1316234487 | Angelo S. Giarratano, D.p.m. | Podiatrist | 2037 Jerry Murphy Rd, Suite 100, Pueblo, CO 81001-1250 | 2011-07-08 |
| 1891923033 | Mark Edward Maurer | Podiatrist | 1619 N Greenwood St, Ste 300, Pueblo, CO 81003-2644 | 2009-06-25 |
| 1528224755 | Ann Nakai Jurewicz | Podiatrist | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2008-08-07 |
| 1588842124 | Complete Foot Care, P.C. | Podiatrist | 2037 Jerry Murphy Rd Ste 100, Pueblo, CO 81001-1256 | 2008-02-06 |
| 1790999035 | Pueblo Ankle and Foot Care, Pllc | Podiatrist | 1619 N Greenwood St, #300, Pueblo, CO 81003-2657 | 2007-05-09 |
| 1023172426 | Benjamin K Marble | Podiatrist | 1619 N Greenwood St, # 300, Pueblo, CO 81003-2657 | 2006-12-20 |
| 1699780361 | Stanley C. Rheaume, Dpm, PC | Podiatrist | 1513 Moore Ave, Pueblo, CO 81005-2346 | 2006-07-30 |
| Find all providers in PUEBLO | ||||
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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.