CENTRAL UTAH FOOT CLINIC, LLC (NPI# 1881729507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881729507 |
| Entity Type | Organization |
| Organization Name | CENTRAL UTAH FOOT CLINIC, LLC |
| Practice Address |
150 W 800 N Provo UT 84601-1624 |
| Practice Telephone | 8013755353 |
| Practice Fax Number | 8013755395 |
| Mailing Telephone | 8013755353 |
| Mailing Fax Number | 8013755395 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | MARK F ROGERS (PARTNER) |
| Authorized Official Telephone | 8013755353 |
| 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 |
102652-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750633558 | Central Utah Foot Clinic, LLC | Podiatrist | 76 E Commerce Dr, Ste 204, Saratoga Springs, UT 84045-4022 | 2012-10-04 |
| 1881945608 | Central Utah Foot Clinic, LLC | Podiatrist | 120 N 1220 E, Ste 12, American Fork, UT 84003-2089 | 2012-09-20 |
| Street Address |
150 W 800 N |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720069446 | Thomas G Rogers | Podiatrist | 150 W 800 N, Provo, UT 84601-1624 | 2005-11-09 |
| 1619958345 | Mark F Rogers | Podiatrist | 150 W 800 N, Provo, UT 84601-1624 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295001683 | Cascade Foot and Ankle Clinic PC | Podiatrist | 1973 North State St, Provo, UT 84604-5711 | 2012-03-29 |
| 1942338496 | Cascade Foot and Ankle Clinic PC | Podiatrist | 1973 N State St, Provo, UT 84604-5711 | 2007-02-28 |
| 1790726487 | H Gary Morley | Podiatrist | 1275 N University Ave, Suite 12, Provo, UT 84604-7123 | 2006-06-10 |
| 1457737579 | Utah Podiatry Group PC | Podiatrist | 1973 North State Street, Provo, UT 84604-1012 | 2015-07-31 |
| 1326428061 | Garr Foot & Ankle Pllc | Podiatrist | 1355 N University Ave, Ste 125, Provo, UT 84604-2721 | 2015-06-08 |
| 1215315817 | Todd Joseph Jaramillo | Podiatrist | 3355 N University Ave Ste 175, Provo, UT 84604 | 2015-05-14 |
| 1285980094 | Randy Garr | Podiatrist | 1355 N University Ave, Ste 125, Provo, UT 84604-2721 | 2012-07-30 |
| 1356416770 | Rocky Mountain Foot and Ankle Clinic | Podiatrist | 777 N 500 W, Suite 105, Provo, UT 84601-1541 | 2006-11-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTRAL UTAH FOOT CLINIC, LLC.
| 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.