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FOOT & ANKLE CLINICS OF SOUTHERN IOWA PC NPI 1154549640


NPI Information

NPI: 1154549640
Provider Name: FOOT & ANKLE CLINICS OF SOUTHERN IOWA, PC

Doing Business As: OTTUMWA FOOT & ANKLE CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1005 PENNSYLVANIA AVE
SUITE 202
OTTUMWA, IA
ZIP 52501
Phone: (641) 684-8448
Get Directions

FOOT & ANKLE CLINICS OF SOUTHERN IOWA, PC is a podiatrist in Ottumwa, IA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT & ANKLE CLINICS OF SOUTHERN IOWA, PC NPI is 1154549640. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ottumwa Foot & Ankle Clinic.

The provider's business location address is:

1005 PENNSYLVANIA AVE
SUITE 202
OTTUMWA, IA
ZIP 52501-413
Phone: (641) 684-8448
Fax: (641) 684-4055

The provider's authorized official is Scott Byron King .
The authorized official title is Owner and has the following contact phone number (641) 684-8448.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 2/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist00453IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T01418MEDICARE UPINIOWA
21109550002MEDICARE NSCIOWA
30249003MEDICAIDIOWA
412920MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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