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A FOOT DOCTOR PLLC NPI 1255505004


NPI Information

NPI: 1255505004
Provider Name: A FOOT DOCTOR, PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2631 12TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 232-0900
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A FOOT DOCTOR, PLLC is a podiatrist in Fargo, ND. 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. A FOOT DOCTOR, PLLC NPI is 1255505004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2631 12TH AVE S
FARGO, ND
ZIP 58103-741
Phone: (701) 232-0900

The provider's authorized official is Bruce Morgan .
The authorized official title is President and has the following contact phone number (701) 232-0900.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 8/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist52NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106796001OTHERNORTH DAKOTABLUE SHIELD GROUP
2N711812MEDICARE PINNORTH DAKOTA
3126502OTHERMINNESOTAHEALTHPARTNERS HPFIN
4T02601MEDICARE UPINNORTH DAKOTA
56170000001MEDICARE NSC
62700617OTHERMINNESOTAMEDICA
703N87MOOTHERMINNESOTABLUE SHIELD MN GROUP
8P00320486OTHERRAILROAD MEDICARE
913725MEDICAIDNORTH DAKOTA

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: 4/28/2024

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