Active NPI
Professional Foot and Ankle Care Inc PC
- Podiatrist
- Iowa City, IA
National Provider Identifier
1104119189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00600
- 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. Sehl
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Iowa City, IA
- NPI 1194806448
Foot & Ankle Surgery, IA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
805 S Gilbert St
Iowa City, IA 52240
Phone (319) 337-2021
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00600 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110122 | Medicaid | IA |
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.