SAN JUAN FOOT AND ANKLE CENTER (NPI# 1730220005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730220005 |
| Entity Type | Organization |
| Organization Name | SAN JUAN FOOT AND ANKLE CENTER |
| Practice Address |
1450 Burgess St Delta CO 81416-2849 |
| Mailing Address |
100 Tessitore Ct Unit F Montrose CO 81401-5689 |
| Practice Telephone | 9702403338 |
| Practice Fax Number | 9702401541 |
| Mailing Telephone | 9702403338 |
| Mailing Fax Number | 9702401541 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTOPHER OTTO COOK (DOCTOR OF PODIATRIC MEDICINE) |
| Authorized Official Telephone | 9702403338 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
628 | CO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578622502 | San Juan Foot and Ankle Center | Podiatrist | 1825 E Main St, Suite A, Montrose, CO 81401-3848 | 2006-12-06 |
| 1497896757 | San Juan Foot and Ankle Center | Podiatrist | 707 N Iowa St, Gunnison, CO 81230-2229 | 2007-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | San Juan Foot and Ankle Center | 1825 East Main St., Suite A, Montrose, CO 81401 |
| Street Address |
1450 BURGESS ST |
| City | DELTA |
| State | CO |
| Zip Code | 81416-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846314 | Marcy Lynn Patton | Nurse Practitioner | 1450 Burgess St, Delta, CO 81416-2849 | 2005-10-24 |
| 1811557341 | Montrose Memorial Hospital, Inc | Internal Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2019-06-17 |
| 1144887100 | Delta County Memorial Hospital | Internal Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2019-05-24 |
| 1720463953 | Heather S Ford | Nurse Practitioner | 1450 Burgess St, Delta, CO 81416-2849 | 2015-07-29 |
| 1326179680 | Dory B Funk IIi | Family Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2007-03-08 |
| 1992806160 | Larry D Melia | Internal Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2006-09-26 |
| 1598779787 | Monica R Reed | Internal Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2006-07-27 |
| 1144257783 | Jeffrey L Berkosky | Internal Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2006-06-27 |
| 1073559944 | Sara W Knutson | Internal Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2006-06-21 |
| 1346286333 | Hugh T Comer | Internal Medicine | 1450 Burgess St, Delta, CO 81416-2849 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124687553 | Integrated Insight Therapy, LLC | Counselor | 250 1/2 Main Street, Delta, CO 81416 | 2019-06-10 |
| 1629588538 | Joel L Watts | Counselor | 250.5 Main Street, Delta, CO 81416 | 2017-10-05 |
| 1578968020 | Susan M Simianer | Counselor | 555 Meeker, Delta County Memorial Hospital Family Medicine, Delta, CO 81416 | 2014-10-27 |
| 1609111533 | Heather Marie Tietz | Occupational Therapy Assistant | 2050 S. Main Street, Delta, CO 81416 | 2012-12-04 |
| 1124393723 | Alpine Optical of Western Colorado LLC | Eyewear Supplier (Equipment, not the service) | 1424 Mesa View Dr, Delta, CO 81416 | 2012-03-14 |
| 1952618647 | Jacklyn Jane Robirds | Counselor | 423 Palmer St., Delta, CO 81416 | 2010-09-02 |
| 1265748099 | Karen L. Wolfram | Counselor | 115 Grand Ave, Suite 2, Delta, CO 81416 | 2010-08-31 |
| 1386887305 | Betsy A Nordstrom | Counselor | 795 1600 Rd, Delta, CO 81416 | 2009-04-07 |
| 1962640631 | Lois Paula Anders | Counselor | 53057 Carnation Rd, Lois P. Anders, Delta, CO 81416 | 2009-02-03 |
| 1013103373 | Kieca Md Pllc | Clinic/Center | 2050 South Main, Unit B, Delta, CO 81416 | 2007-09-20 |
| Find all providers in zip 81416 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449521 | Foot and Ankle Center of The Rockies LLC | Podiatrist | 1305 Sumner St Unit 200, Longmont, CO 80501-3270 | 2020-02-13 |
| 1740825397 | Valley View Hospital Association | Podiatrist | 1450 E Valley Rd Unit 202, Basalt, CO 81621-8352 | 2019-11-07 |
| 1275966004 | Kyle S Nay | Podiatrist | 1825 E Main St Ste A, Montrose, CO 81401-3848 | 2013-08-15 |
| 1467893131 | Blake Hines | Podiatrist | 12201 Pecos St Ste 400, Westminster, CO 80234-3994 | 2013-07-10 |
| 1841630225 | Andrew Steven Bernhard | Podiatrist | 842 Summit Blvd, #15, Frisco, CO 80443 | 2013-06-28 |
| 1730528001 | Keleigh A Muxlow | Podiatrist | 3740 Dacoro Ln Ste 105, Castle Rock, CO 80109-2515 | 2013-06-20 |
| 1104262922 | Altitude Foot & Ankle Center | Podiatrist | 1138 Olympia Ave, Unit B, Longmont, CO 80504-2382 | 2013-05-20 |
| 1275898355 | Sarah Mae Thompson | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2012-07-05 |
| 1912261074 | Morgan Johonn Kizzar | Podiatrist | 604 S 9th St, Canon City, CO 81212-4910 | 2012-07-03 |
| 1184905887 | Brian Michael Oase | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2011-09-08 |
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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.