Organization Active NPI

Premier Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Beaver Falls, PA
National Provider Identifier
1174350805
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PREMIER FOOT AND ANKLE PLLC
Practice address
2620 Constitution Blvd Ste 104
Beaver Falls, PA 15010-1278
Phone
(412) 830-7837
Fax
(412) 909-4168
NPI assigned
Sep 17, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Kimberlee Brooke Hobizal, DPM, MHANPI 1467763003
Title
Owner/Physician
Phone
(515) 664-2827

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)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

2620 Constitution Blvd Ste 104
Beaver Falls, PA 15010-1278

Mailing address

2620 Constitution Blvd Ste 104
Beaver Falls, PA 15010-1278
Phone (412) 830-7837

National Provider Directory

National Provider Directory

Locations

2620 Constitution Blvd
Ste 104
Beaver Falls, PA 15010
Phone (412) 830-7837

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7838/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1174350805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CONSTITUTION BLVD STE 104",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101278",
            "telephone_number": "412-830-7837",
            "fax_number": "412-909-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CONSTITUTION BLVD STE 104",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101278",
            "telephone_number": "412-830-7837",
            "fax_number": "412-909-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "HOBIZAL",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "515-664-2827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MHA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.