K2 FOOT AND ANKLE PLLC (NPI# 1629371307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629371307 |
| Entity Type | Organization |
| Organization Name | K2 FOOT AND ANKLE PLLC |
| Practice Address |
5770 S 250 E Suite #415 Murray UT 84107-8100 |
| Practice Telephone | 8013145400 |
| Practice Fax Number | 8013145409 |
| Mailing Telephone | 8013145400 |
| Mailing Fax Number | 8013145409 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2012-11-30 |
| Authorized Official Name | DR. STANTON M SMITH (MEMBER/PHYSICIAN) |
| Authorized Official Telephone | 8013145400 |
| 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 |
1045170501 | UT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5770 S 250 E SUITE #415 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992928 | Janet K Harnsberger | Pediatrics | 5770 S 250 E, Ste 330, Murray, UT 84107-8104 | 2005-06-15 |
| 1245602507 | Debra Camp | Registered Nurse | 5770 S 250 E, #310, Murray, UT 84107-8100 | 2015-10-27 |
| 1912374521 | Cindy Clymore | Registered Nurse | 5770 S 250 E, Murray, UT 84107-8100 | 2015-08-31 |
| 1558738161 | Laura Guilmain | Registered Nurse | 5770 S 250 E, Suite 310, Murray, UT 84107-8100 | 2015-08-31 |
| 1710319058 | Stacey Claire Snow | Audiologist | 5770 S 250 E, #285, Murray, UT 84107-8100 | 2013-08-08 |
| 1407292451 | Amy K. Stewart | Social Worker | 5770 S 250 E, Murray, UT 84107-8100 | 2013-05-17 |
| 1174866941 | Jake C Jones | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-31 |
| 1851633903 | Rebecca Elizabeth Kincaid | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-26 |
| 1699021741 | Leslie Pollio Farrell | Nurse Practitioner | 5770 S 250 E, Ste 330, Murray, UT 84107-8100 | 2012-07-26 |
| 1346595188 | Cottonwood Pediatric Gastroenterology | Pediatrics | 5770 S 250 E, Ste330, Murray, UT 84107-8100 | 2012-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316325590 | Daniel Hansen | Podiatrist | 5801 S Fashion Blvd Ste 120, Murray, UT 84107 | 2015-05-08 |
| 1295221869 | Christopher Kiser | Podiatrist | 5169 S Cottonwood St Ste 303, Murray, UT 84107-6768 | 2018-07-07 |
| 1245734581 | Richard Luke Jones | Podiatrist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2018-03-21 |
| 1679763494 | Nathan W Davis Dpm PC | Podiatrist | 154 Myrtle Ave, Suite 201, Murray, UT 84107-4849 | 2007-07-27 |
| 1730165572 | Nathan W Davis | Podiatrist | 154 Myrtle Ave, Suite 201, Murray, UT 84107-4833 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
| 1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
| 1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
| 1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
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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.