Anchorage Foot and Ankle Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

8108 Issued in AK

Legal business name

ANCHORAGE FOOT AND ANKLE CLINIC, LLC

Practice address

1000 E Dimond Blvd
Suite 201
Anchorage, AK 99515-2029

Phone

(907) 344-2155

Fax

(907) 344-8841

NPI assigned

Mar 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Heather Kaufman, DPMNPI 1710007091

Title

Owner

Phone

(970) 623-0501

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Heather Dawn Kaufman, DPM

  • Foot Surgery Podiatrist
  • Anchorage, AK
  • NPI 1710007091
  Medicare reassignment Care Compare group NPD Authorized official
• David James Archibald, DPM

  • Foot Surgery Podiatrist
  • Billings, MT
  • NPI 1639750128

  AK

  Medicare reassignment Care Compare group NPD
• Gary H Wilson, D.O.

  • Foot & Ankle Surgery Podiatrist
  • Anchorage, AK
  • NPI 1891821534
  NPD (past)

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1245656727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD",
            "address_2": "SUITE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-344-2155",
            "fax_number": "907-344-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD",
            "address_2": "SUITE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-344-2155",
            "fax_number": "907-344-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE FOOT AND ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-623-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AK",
            "license": "8108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66252245",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Foot & Ankle Surgery Podiatrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.