Johnston Foot & Ankle Clinic

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

Organization subpart

No

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

Authorized official

Name

Dana L Plew, DPM

Title

Owner/Physician

Phone

(515) 252-6063

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Dana L Plew, DPM

  • Foot & Ankle Surgery Podiatrist
  • Johnston, IA
  • NPI 1285608323

  O20100930030398

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynda L. Haver, DPM

  • Podiatrist
  • Des Moines, IA
  • NPI 1831275767
  NPD (past)
• Bruce A Pichler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dahlonega, GA
  • NPI 1629042486
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136705",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Johnson
• Leah Johnson, RN
• Maria Anne Johnson, ARNP
• Taelor Deann Johnson, SLP
• Johnston CSD
• Jolian Express Support LLC
• Amber Lauren Jolly, MSN, APRN, WHNP-BC
• Dianne Morris Jones, LMHC
• Mark Edward Jones, DO
• Joyful Hearts Home Care LLC

• Foot & Ankle Surgery Podiatrist in Johnston, IA
• Providers in Johnston, IA by specialty
• Foot & Ankle Surgery Podiatrist in Iowa

• 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.