Organization Active NPI

Professional Foot and Ankle Care Inc PC

  • Podiatrist
  • Iowa City, IA
National Provider Identifier
1104119189
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00600 Issued in IA
Legal business name
PROFESSIONAL FOOT AND ANKLE CARE INC PC
Practice address
805 S Gilbert St
Iowa City, IA 52240-1742
Phone
(319) 337-2021
Fax
(319) 337-8411
NPI assigned
May 24, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. George S. SehlNPI 1194806448
Title
DPM
Phone
(319) 337-2021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110926000032 IA Part B Supplier - Clinic/Group Practice 5991976821 Receives reassigned benefits from 1 practitioner
Practice locations: Coralville, IA; Iowa City, IA
O20111206000177 IA DME Supplier - Physician - Podiatry 5991976821 Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

805 S Gilbert St
Iowa City, IA 52240
Phone (319) 337-2021

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00600 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

805 S Gilbert St
Iowa City, IA 52240-1742

Mailing address

805 S Gilbert St
Iowa City, IA 52240-1742
Phone (319) 337-2021

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0110122MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2011.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1104119189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401742",
            "telephone_number": "319-337-2021",
            "fax_number": "319-337-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401742",
            "telephone_number": "319-337-2021",
            "fax_number": "319-337-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FOOT AND ANKLE CARE INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "SEHL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "319-337-2021",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110122",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.