Big Horn Foot Clinic PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

139 Issued in WY

Legal business name

BIG HORN FOOT CLINIC PC

Practice address

777 Avenue H
Powell, WY 82435-2260

Phone

(307) 754-9191

Fax

(307) 954-1291

NPI assigned

Feb 22, 2007

Last updated

Sep 16, 2014By 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

Lael J Beachler, D.P.M.NPI 1922241181

Title

Podiatrist

Phone

(307) 754-9191

Specialties & licenses 2

Addresses

Other identifiers 5

Tax ID family

Big Horn Ankle Foot LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Big Horn Ankle & Foot LLC

  • Foot & Ankle Surgery Podiatrist
  • Powell, WY
  • NPI 1629571963
  NPD tax ID

Locations

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.

• Lael J. Beachler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Powell, WY
  • NPI 1922241181
  Authorized official Same address or phone

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1245365154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-9191",
            "fax_number": "307-954-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-9191",
            "fax_number": "307-954-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HORN FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "BEACHLER",
        "authorized_official_first_name": "LAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "307-754-9191",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WY",
            "license": "139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "307844",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113976200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BEACHLER'S NPI",
            "identifier": "1922241181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133719000",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI# D. HUGH FRASER DPM",
            "identifier": "1114923463",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Louise Life Services LLC
• Big Horn Ankle & Foot LLC
• Big Horn Basin Mental Health Group
• Big Horn Basis Mental Health Group
• Big Horn Behavior Consulting
• Bighorn Valley Health Center Incorporated (One Health)
• Bighorn Valley Health Center Incorporated (One Health)
• Bighorn Valley Health Center Incorporated (One Health)
• Aaron Robert Billin, M.D.
• Birthing Traditions, LLC

• Foot & Ankle Surgery Podiatrist in Powell, WY
• Providers in Powell, WY by specialty
• Foot & Ankle Surgery Podiatrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.