S F Foot Specialist, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

S F FOOT SPECIALIST, PLLC

Practice address

1320 S Minnesota Ave Ste 102
Sioux Falls, SD 57105-0656

Phone

(605) 274-2564

Fax

(605) 274-2562

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Gabriel Rodriguez

Title

Owner

Phone

(605) 274-2564

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• S F Foot Specialist, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Sioux Falls, SD
  • NPI 1013256106

  O20130920000707

  Same enrollment

Locations

Practitioners 3

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

• Nicole Jo Cotton, CNP

  • Primary Care Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1447841077
  NPD (past)
• Jessica Marie Shaw-Hayes, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sioux Falls, SD
  • NPI 1285964353
  NPD (past)
• Demetria Martin

  • Podiatrist
  • Brookfield, WI
  • NPI 1114157955
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1174265912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89836",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571096836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S MINNESOTA AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050656",
            "telephone_number": "605-274-2564",
            "fax_number": "605-274-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S F FOOT SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-274-2564"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Betty Ryan, DDS
• Jon Ryckman, MD
• Jill Ann Rysavy
• Barbara F Rysdon, RN MA LMFT 2MHP
• S F Foot Specialist, PLLC
• Arkadiy Allen Saakyan
• Alexandra Saban, MA, BCBA, LBA
• Angela M Sadowski, LCSW
• Amna Afzal Saeed
• Robert Edward Safar, CNP

• Podiatrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Podiatrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.