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LONGMONT FOOT AND ANKLE CLINIC P.C. NPI 1821228495


NPI Information

NPI: 1821228495
Provider Name: LONGMONT FOOT AND ANKLE CLINIC, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1330 VIVIAN ST
LONGMONT, CO
ZIP 80501
Phone: (303) 776-9122
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LONGMONT FOOT AND ANKLE CLINIC, P.C. is a foot and ankle surgery podiatrist in Longmont, CO. LONGMONT FOOT AND ANKLE CLINIC, P.C. NPI is 1821228495. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1330 VIVIAN ST
LONGMONT, CO
ZIP 80501-217
Phone: (303) 776-9122
Fax: (303) 774-9572

The provider's authorized official is Scott William Taylor .
The authorized official title is President and has the following contact phone number (303) 776-9122.

The enumeration date for this NPI number is 7/17/2009 and was last updated on 6/16/2010.


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
1213ES0103XPodiatristFoot & Ankle Surgery609COLORADOYes

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
1CO41115MEDICARE PIN
26266510001MEDICARE NSCCOLORADO
31164647715OTHERCOLORADOINDIVIDUAL NPI
4U89690MEDICARE UPINCOLORADO
590233573MEDICAIDCOLORADO

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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