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FOOT AND ANKLE CLINIC PC NPI 1659677318


NPI Information

NPI: 1659677318
Provider Name: FOOT AND ANKLE CLINIC, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3405 6TH ST
BROOKINGS, SD
ZIP 57006
Phone: (605) 693-7246
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FOOT AND ANKLE CLINIC, PC is a foot and ankle surgery podiatrist in Brookings, SD. FOOT AND ANKLE CLINIC, PC NPI is 1659677318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3405 6TH ST
BROOKINGS, SD
ZIP 57006-417
Phone: (605) 693-7246
Fax: (605) 693-7247

The provider's authorized official is Kham Vay Ung .
The authorized official title is President/owner and has the following contact phone number (712) 255-0502.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 6/14/2016.


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
1213ES0103XPodiatristFoot & Ankle Surgery00505IOWAYes

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
10476317MEDICAIDIOWA
2U52054MEDICARE UPINIOWA
33952040004MEDICARE NSCSOUTH DAKOTA
43952040001MEDICARE NSCIOWA
5S40585MEDICARE PINSOUTH DAKOTA
6098749MEDICARE PINNEBRASKA
76800700MEDICAIDSOUTH DAKOTA
8I8890MEDICARE PINIOWA
96800454MEDICAIDSOUTH DAKOTA
106800690MEDICAIDSOUTH 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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