Foot Health Center, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

12-00322 Issued in KS

Legal business name

FOOT HEALTH CENTER, PA

Practice address

430 S Ohio St
Salina, KS 67401-3177

Phone

(785) 825-0003

Fax

(785) 825-0099

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Shane Frederiksen, DPMNPI 1851481063

Title

Owner

Phone

(785) 825-0003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

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

• Michael S Frederiksen, DPM

  • Podiatrist
  • Salina, KS
  • NPI 1851481063
  Medicare reassignment NPD Authorized official
• Joseph A Svoboda, DPM

  • Podiatrist
  • Manhattan, KS
  • NPI 1952493751
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1184740359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013177",
            "telephone_number": "785-825-0003",
            "fax_number": "785-825-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013177",
            "telephone_number": "785-825-0003",
            "fax_number": "785-825-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "FREDERIKSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-825-0003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayna Flax, AAPS
• William Flesher, PT, DPT
• Christopher William Flieg, PT, DPT
• Lucy Marie-Elizabeth Florez, DO
• Kayelee Fokken, LMSW
• Forge and Vault LLC
• Kaydi Forrester, RN
• Valarie Forrester
• Robert W Fowler Jr., TLPC
• Tammy Michelle Fox, LAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.