ANDERSON PODIATRY CENTER PC NPI 1457571127

NPI Information

NPI: 1457571127
Provider Name: ANDERSON PODIATRY CENTER PC

Former Legal Business Name: POUDRE VALLEY FOOT AND ANKLE CLINIC PC

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
1355 RIVERSIDE AVE
SUITE C
FORT COLLINS, CO
ZIP 80524
Phone: (970) 484-4620
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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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	662	COLORADO	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine			Yes

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
1	COA109357	MEDICARE PIN	COLORADO
2	109240500	MEDICAID	WYOMING
3	W307625	MEDICARE PIN	WYOMING
4	CJ4464	OTHER	WYOMING	RR MEDICARE
5	4800195741	OTHER	COLORADO	RR MEDICARE
6	04013090	MEDICAID	COLORADO

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

NPI Synchronization or Removal

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