BIG HORN FOOT CLINIC PC NPI 1245365154

NPI Information

NPI: 1245365154
Provider Name: BIG HORN FOOT CLINIC PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
777 AVENUE H
POWELL, WY
ZIP 82435
Phone: (307) 754-9191
Get Directions

BIG HORN FOOT CLINIC PC is a foot and ankle surgery podiatrist in Powell, WY. BIG HORN FOOT CLINIC PC NPI is 1245365154. The provider is registered as an organization entity type.

The provider's business location address is:

777 AVENUE H
POWELL, WY
ZIP 82435-260
Phone: (307) 754-9191
Fax: (307) 954-1291

The provider's authorized official is Lael J Beachler .
The authorized official title is Podiatrist and has the following contact phone number (307) 754-9191.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 9/16/2014.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	139	WYOMING	Yes

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
1	307844	OTHER	WYOMING	BLUE CROSS BLUE SHIELD #
2	133719000	MEDICAID	WYOMING
3	1922241181	OTHER		DR. BEACHLER'S NPI
4	T67619	MEDICARE UPIN	WYOMING
5	0211460001	MEDICARE NSC
6	W307844	MEDICARE PIN	WYOMING
7	1114923463	OTHER	WYOMING	NPI# D. HUGH FRASER DPM
8	W24959	MEDICARE UPIN	WYOMING
9	113976200	MEDICAID	WYOMING
10	480027493	MEDICARE ID-TYPE UNSPECIFIED	WYOMING	RAILROAD MEDICARE NUMBER

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

NPI Synchronization or Removal

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