Active NPI
Spencer Foot and Ankle Clinic Inc
- Customized Equipment (DME)
- Osceola, IA
National Provider Identifier
1124228994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 00413
- Legal business name
- SPENCER FOOT AND ANKLE CLINIC INC
- Practice address
- 110 E McLane St
Osceola, IA 50213-1457 - Phone
- (641) 342-6054
- Fax
- (641) 342-2292
- NPI assigned
- Jul 20, 2007
- Last updated
- Jul 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard B Spencer, DPM
- Title
- President
- Phone
- (641) 342-6054
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 00413 | IA | Primary |
Addresses
Primary practice location
110 E McLane St
Osceola, IA 50213-1457
Mailing address
110 E McLane St
Osceola, IA 50213-1457
Phone (641) 342-6054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4214171 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Spencer Foot and Ankle Clinic Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Lamoni, IA
- NPI 1205036076
-
- Customized Equipment (DME)
- Corydon, IA
- NPI 1366649204
-
- Customized Equipment (DME)
- Chariton, IA
- NPI 1518164078
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Podiatrist
- Osceola, IA
- NPI 1770568602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184889600000",
"number": "1124228994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E MCLANE ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131457",
"telephone_number": "641-342-6054",
"fax_number": "641-342-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E MCLANE ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131457",
"telephone_number": "641-342-6054",
"fax_number": "641-342-2292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPENCER FOOT AND ANKLE CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-342-6054",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "IA",
"license": "00413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4214171",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.