ANDREW H BURGON PODIATRY LLC (NPI# 1922569672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922569672 |
| Entity Type | Organization |
| Organization Name | ANDREW H BURGON PODIATRY LLC |
| Other Organization Name | SUMMIT FOOT AND ANKLE |
| Practice Address |
1761 N 2000 W Farr West UT 84404-9541 |
| Mailing Address |
2561 S 1560 W Ste B Woods Cross UT 84087-2361 |
| Practice Telephone | 4357607313 |
| Mailing Telephone | 8015050821 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | ANDREW HARRIS BURGON (DPM/OWNER) |
| Authorized Official Telephone | 4357603713 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Summit Foot And Ankle | Doing Business As Name - Organization |
| Street Address |
1761 N 2000 W |
| City | FARR WEST |
| State | UT |
| Zip Code | 84404-9541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508877515 | Jerry L Shaw | Dentist | 1761 N 2000 W, Farr West, UT 84404 | 2006-08-11 |
| 1457770026 | Michael Ray Richards | Dentist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2014-04-10 |
| 1346667243 | Farr West Orthodontics | Dentist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2014-03-28 |
| 1205266798 | Farr West Orthodontics | Dentist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2013-11-19 |
| 1407296189 | Andrew Harris Burgon | Podiatrist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2013-06-26 |
| 1811234222 | Whipple Eyecare PC | Optometrist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2013-01-07 |
| 1487940466 | Ian Garrett Whipple | Optometrist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2011-06-28 |
| 1245545904 | Farr West Family Dental, P.C. | Dentist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2010-08-18 |
| 1386874139 | Brad Butterfield | Dentist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2009-07-14 |
| 1497937981 | Paul E Reed Od PC | Optometrist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407296189 | Andrew Harris Burgon | Podiatrist | 1761 N 2000 W, Farr West, UT 84404-9541 | 2013-06-26 |
| 1255617072 | Cook Foot & Ankle Specialists | Podiatrist | 2850 N 2000 W, Farr West, UT 84404-9219 | 2011-10-25 |
| 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 ANDREW H BURGON PODIATRY 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.