Provider Type Icon

PARK CENTER FOOT AND ANKLE NPI 1629043252


NPI Information

NPI: 1629043252
Provider Name: PARK CENTER FOOT AND ANKLE

Doing Business As: PARK CENTER FOOT & ANKLE CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
671 E. RIVERPARK LANE
STE 110
BOISE, ID
ZIP 83706
Phone: (208) 387-0900
Get Directions

PARK CENTER FOOT AND ANKLE is a podiatrist in Boise, ID. 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. PARK CENTER FOOT AND ANKLE NPI is 1629043252. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Park Center Foot & Ankle Clinic.

The provider's business location address is:

671 E. RIVERPARK LANE
STE 110
BOISE, ID
ZIP 83706
Phone: (208) 387-0900
Fax: (208) 345-5883

The provider's authorized official is Alyssa Barber .
The authorized official title is Biller and has the following contact phone number (208) 387-0900.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/13/2023.


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
1213E00000XPodiatristP142IDAHOYes

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
1002725800MEDICAIDIDAHO
2P1423OTHERIDAHOBLUE CROSS OF ID
3000010015660OTHERIDAHOREGENCE BS OF ID
4DA8994OTHERRAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.