ANDERSON PODIATRY CENTER PC (NPI# 1457571127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457571127 |
| Entity Type | Organization |
| Organization Name | ANDERSON PODIATRY CENTER PC |
| Other Organization Name | POUDRE VALLEY FOOT AND ANKLE CLINIC PC |
| Practice Address |
1355 Riverside Ave Suite C Fort Collins CO 80524-4368 |
| Practice Telephone | 9704844620 |
| Mailing Telephone | 9704844620 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | DR. JAMES CHARLES ANDERSON (OWNER) |
| Authorized Official Telephone | 9704844620 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
662 | CO | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04013090 | 05 | |
| WY | 109240500 | 05 | |
| WY | RR MEDICARE | CJ4464 | 01 |
| CO | RR MEDICARE | 4800195741 | 01 |
| Other Name | Type Code |
|---|---|
| Poudre Valley Foot and Ankle Clinic PC | Former Legal Business Name - Organization |
| Street Address |
1355 RIVERSIDE AVE SUITE C |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166690 | Anderson Medical Procedures LLC | Clinic/Center | 1355 Riverside Ave, Fort Collins, CO 80524-4368 | 2019-07-23 |
| 1013116938 | Foot Surgery Center of Northern Colorado LLC | Clinic/Center | 1355 Riverside Ave, Suite B, Fort Collins, CO 80524 | 2007-07-11 |
| 1700907102 | Perfect Teeth - South Fort Collins P.C. | Dentist | 1355 Riverside Ave, Unit D, Fort Collins, CO 80524-4368 | 2007-04-03 |
| 1275577389 | James C Anderson | Podiatrist | 1355 Riverside Ave, Suite C, Fort Collins, CO 80524-4366 | 2006-06-16 |
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|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164458006 | Michael I Thomas | Podiatrist | 1355 Riverside Ave Ste C, Fort Collins, CO 80524-4366 | 2006-06-23 |
| 1275577389 | James C Anderson | Podiatrist | 1355 Riverside Ave, Suite C, Fort Collins, CO 80524-4366 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316404874 | Colorado Footcare, LLC | Podiatrist | 2270 S Vaughn Way Apt 201, Aurora, CO 80014-1340 | 2019-02-20 |
| 1912052564 | David J Giffin | Podiatrist | 6342 S Poplar Ct, Centennial, CO 80111-4656 | 2007-01-24 |
| 1043227390 | John S Jachimiak | Podiatrist | 2575 Pearl St, Suite 240, Boulder, CO 80302-3851 | 2006-08-01 |
| 1033199070 | Tim Carlsen | Podiatrist | 2620 Tenderfoot Hill St, Suite 10, Colorado Springs, CO 80906-3981 | 2006-01-17 |
| 1548240609 | Jennifer V Yull | Podiatrist | 2975 Broadmoor Valley Rd, Suite 104, Colorado Springs, CO 80906-4466 | 2006-01-17 |
| 1952714313 | Zeno Pfau | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2014-06-03 |
| 1336550565 | Garrett D Moore | Podiatrist | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2014-05-09 |
| 1073931275 | Edward Chesnutis IIi | Podiatrist | 1721 E 19th Ave Ste 520, Denver, CO 80218-1243 | 2014-04-03 |
| 1720428626 | Elite Foot & Ankle Clinic | Podiatrist | 3655 E 104th Ave, Suite B, Thornton, CO 80233-4469 | 2013-06-25 |
| 1003083841 | Cheyenne Foot & Ankle Inc | Podiatrist | 1335 Phay Ave, Suite D, Canon City, CO 81212-2334 | 2008-05-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on ANDERSON PODIATRY CENTER PC.
| 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.