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ADVANCED FOOT & ANKLE NPI 1225107766


NPI Information

NPI: 1225107766
Provider Name: ADVANCED FOOT & ANKLE
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1811 W ROYAL HUNTE DR
SUITE 2
CEDAR CITY, UT
ZIP 84720
Phone: (435) 586-2225
Get Directions

ADVANCED FOOT & ANKLE is a podiatrist in Cedar City, UT. 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. ADVANCED FOOT & ANKLE NPI is 1225107766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1811 W ROYAL HUNTE DR
SUITE 2
CEDAR CITY, UT
ZIP 84720-273
Phone: (435) 586-2225
Fax: (435) 867-1909

The provider's authorized official is Russell G Olsen .
The authorized official title is Owner and has the following contact phone number (435) 586-2225.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 4/20/2008.


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
1213E00000XPodiatrist106765-0501UTAHYes

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
1=========OL1OTHERUTAHEDUCATORS MUTUAL
252815688205001OTHERUTAHVALUECARE
3U46951MEDICARE UPINUTAH
4V100734MEDICARE PINNEVADA
5167286OTHERUTAHDMBA
6107005417101OTHERUTAHIHC
7U89629MEDICARE UPINUTAH
8528156882001MEDICAIDUTAH
9=========006MEDICAIDUTAH
101069500002MEDICARE NSCUTAH
1152815688205001OTHERUTAHBLUECROSS BLUESHIELD
12530941699001MEDICAIDUTAH
131069500001MEDICARE NSCUTAH

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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