NPIMap

Organization Active NPI

Cook Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Farr West, UT
National Provider Identifier
1255617072
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
72759630501 Issued in UT
Legal business name
COOK FOOT & ANKLE SPECIALISTS
Practice address
2850 N 2000 W
Farr West, UT 84404-9219
Phone
(435) 752-9011
Fax
(435) 752-7159
NPI assigned
Oct 25, 2011
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Kathy Wright
Title
Office Manager
Phone
(435) 752-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 72759630501 UT Primary

Addresses

Primary practice location

2850 N 2000 W
Farr West, UT 84404-9219

Mailing address

550 E 1400 N
#B
Logan, UT 84341-2406
Phone (435) 752-9011

Other identifiers 1

IdentifierTypeStateIssuer
528741267005MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Cook Foot and Ankle Specialists LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1255617072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "#B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-752-9011",
            "fax_number": "435-752-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049219",
            "telephone_number": "435-752-9011",
            "fax_number": "435-752-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-752-9011"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "72759630501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528741267005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farr West, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.