Community Foot Clinic of McPherson LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

12-00301 Issued in KS

Legal business name

COMMUNITY FOOT CLINIC OF MCPHERSON LLC

Practice address

316 W 4TH St
McPherson, KS 67460-2301

Phone

(620) 241-3313

Fax

(620) 241-6967

NPI assigned

Aug 14, 2013

Organization subpart

No

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

Authorized official

Name

Trent J Timson, DPMNPI 1033229448

Title

Podiatrist

Phone

(620) 241-3313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Tax ID family

Community Foot Clinic of McPherson LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Foot Clinic of McPherson LLC

  • Durable Medical Equipment & Medical Supplies
  • McPherson, KS
  • NPI 1619301751
  NPD tax ID

Locations

Practitioners 1

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

• Trent J Timson, D.P.M.

  • Podiatrist
  • McPherson, KS
  • NPI 1033229448
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1104259191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 4TH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602301",
            "telephone_number": "620-241-3313",
            "fax_number": "620-241-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 4TH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602301",
            "telephone_number": "620-241-3313",
            "fax_number": "620-241-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FOOT CLINIC OF MCPHERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "TIMSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "620-241-3313",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317700A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Dean Claassen, M.D.
• Janell Baldner Clary, RN
• Clinical Solutions, LLC
• Carrie E Cohen, DO
• Community Care Hospice LLC
• Community Foot Clinic of McPherson LLC
• Contemporary Anesthesia Services P.a.
• Contemporary Anesthesia Solutions LLC
• Continucare LLC
• Miguel Angel Contreras-Avila, PHARMD

• Podiatrist in McPherson, KS
• Providers in McPherson, KS by specialty
• Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.