Midwest Foot and Ankle Center PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

587 Issued in IA

Legal business name

MIDWEST FOOT AND ANKLE CENTER PC

Practice address

804 Kenyon Rd Ste 310
Fort Dodge, IA 50501-5746

Phone

(515) 570-0654

NPI assigned

Aug 17, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Hartman, DPMNPI 1801868252

Title

Podiatrist

Phone

(515) 570-0654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18617/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Mark D Hartman, DPM

  • Podiatrist
  • Fort Dodge, IA
  • NPI 1801868252
  Medicare reassignment Care Compare group NPD Authorized official
• Madison Leyk, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Dodge, IA
  • NPI 1023758638
  Medicare reassignment Care Compare group NPD
• Kelsey Mae Sukovaty, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterloo, IA
  • NPI 1700308095
  Medicare reassignment Care Compare group NPD
• Brian L Hamm, DPM

  • Podiatrist
  • Fort Dodge, IA
  • NPI 1235101619
  Medicare reassignment NPD

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1144700220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 29TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505018805",
            "telephone_number": "515-571-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD STE 310",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015746",
            "telephone_number": "515-570-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT AND ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "515-570-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IA",
            "license": "587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Meyer
• James C Meyer, DO
• Dennis Michener, CADC
• Mid-Iowa Dermatology, P. L. L. C.
• Midas Council of Governments
• Midwest Medical Rides, LLC
• Midwest Spine Center
• Maria Laura Miegge Viera, M. D.
• Millennium Rehab & Consulting, Inc. (Millennium Therapy)
• Miller Counseling Services, LLC

• Podiatric Clinic/Center in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Podiatric Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.