ANDERSON PODIATRY CENTER PC NPI 1457571127

NPI Information

  • NPI: 1457571127
  • Provider Name: ANDERSON PODIATRY CENTER PC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Former Legal Business Name: POUDRE VALLEY FOOT AND ANKLE CLINIC PC
  • Address: 1355 RIVERSIDE AVE
    SUITE C
    FORT COLLINS, CO
    ZIP 80524
  • Phone: (970) 484-4620

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NPI Details

ANDERSON PODIATRY CENTER PC is a primary podiatric medicine podiatrist in Fort Collins, CO. ANDERSON PODIATRY CENTER PC NPI is 1457571127. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Poudre Valley Foot And Ankle Clinic Pc.

The provider's business location address is:

1355 RIVERSIDE AVE
SUITE C
FORT COLLINS, CO
ZIP 80524-368
Phone: (970) 484-4620

The provider's authorized official is James Charles Anderson .
The authorized official title is Owner and has the following contact phone number (970) 484-4620.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 10/27/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery662COLORADONo
2213EP1101XPodiatristPrimary Podiatric MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1COA109357MEDICARE PINCOLORADO
2109240500MEDICAIDWYOMING
3W307625MEDICARE PINWYOMING
4CJ4464OTHERWYOMINGRR MEDICARE
54800195741OTHERCOLORADORR MEDICARE
604013090MEDICAIDCOLORADO

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: 11/21/2025

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