NPIMap

Organization Active NPI

Johnston Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Johnston, IA
National Provider Identifier
1023289451
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00648 Issued in IA
Legal business name
JOHNSTON FOOT & ANKLE CLINIC
Practice address
5335 Merle Hay Rd
Suite #8
Johnston, IA 50131-1238
Phone
(515) 252-6063
Fax
(515) 252-6157
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dana L Plew, DPMNPI 1285608323
Title
Owner/Physician
Phone
(515) 252-6063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 00648 IA Primary

Addresses

Primary practice location

5335 Merle Hay Rd
Suite #8
Johnston, IA 50131-1238

Mailing address

5335 Merle Hay Rd
Suite #8
Johnston, IA 50131-1238
Phone (515) 252-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930030398 IA DME Supplier - Physician - Podiatry 5698896223 1 other NPI on this enrollment
Practice locations: Johnston, IA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

5335 Merle Hay Rd
Ste 8
Johnston, IA 50131
Phone (515) 252-6063

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1023289451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 MERLE HAY RD",
            "address_2": "SUITE #8",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311238",
            "telephone_number": "515-252-6063",
            "fax_number": "515-252-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 MERLE HAY RD",
            "address_2": "SUITE #8",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311238",
            "telephone_number": "515-252-6063",
            "fax_number": "515-252-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "PLEW",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "515-252-6063",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.