Foot Surgery Center of Northern Colorado LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

662 Issued in CO

Legal business name

FOOT SURGERY CENTER OF NORTHERN COLORADO LLC

Doing business as

Anderson Podiatry Center/Surgery

Practice address

1355 Riverside Ave
Suite B
Fort Collins, CO 80524

Phone

(970) 484-4620

NPI assigned

Jul 11, 2007

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Charles Anderson, DPMNPI 1275577389

Title

Owner

Phone

(970) 484-4620

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Anderson Podiatry Center/Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Alan W. Lloyd, MD, LLC

  • Anesthesiology Physician
  • Loveland, CO
  • NPI 1477050037

  O20180518001351

  Same enrollment

Listed as

Foot Surgery Center of Northern Colorado LLCCCN 06C0001043

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12632/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassandra Lee Bradley, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Collins, CO
  • NPI 1942566492
  Medicare reassignment NPD
• James C Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Collins, CO
  • NPI 1275577389
  NPD Authorized official
• Alan W Lloyd, M.D.

  • Anesthesiology Physician
  • Loveland, CO
  • NPI 1063403194
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1013116938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE",
            "address_2": "SUITE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-484-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE",
            "address_2": "SUITE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-484-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SURGERY CENTER OF NORTHERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-484-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114239900",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04510368",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RR",
            "identifier": "490003559",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Podiatry Center/Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Foman, MD
• Elizabeth Ryan Fondy, PT
• Laurie Elaine Fonken, PH.D.
• Foot and Ankle Center of the Rockies LLC
• Foot of the Mountains PLLC
• Lucas Lee Foote, LMT
• Foothills Family Care, LLC (Cory D. Carroll, M.D.)
• Foothills Family Dental, P.C.
• Foothills Gateway Inc
• Foothills Gateway Inc.

• Ambulatory Surgical Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.