Blackmer Foot & Ankle Group PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BLACKMER FOOT & ANKLE GROUP PA

Practice address

191 Addison Ave
Twin Falls, ID 83301-5177

Phone

(208) 733-3881

Fax

(208) 734-8441

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

David A Blackmer, DPMNPI 1396847125

Title

Owner

Phone

(208) 733-3881

Specialties & licenses 1

Addresses

Other names 1

• SOUTH IDAHO FOOT AND ANKLE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Boise Foot and Ankle Group

  • Primary Podiatric Medicine Podiatrist
  • Boise, ID
  • NPI 1962783233
  NPPES parent name

Practitioners 1

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

• David A Blackmer, DPM

  • Podiatrist
  • Twin Falls, ID
  • NPI 1396847125
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1295890648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16820",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837156820",
            "telephone_number": "208-323-9130",
            "fax_number": "208-323-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ADDISON AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015177",
            "telephone_number": "208-733-3881",
            "fax_number": "208-734-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKMER FOOT & ANKLE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "BLACKMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-733-3881",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH IDAHO FOOT AND ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Perry Bischoff, OTR/L
• Troy Bishop, LCSW
• Bitner Oms PC
• Jared Matthew Bitner, DDS
• Brian Keith Bizik, P.A.
• David A Blackmer, DPM
• Colton Shayn Blair, MS, CCC-SLP
• Ronald William Blair, D.O.
• Lindsey Blamires, FNP-BC
• Michael Arlen Blaylock, LPC

• Podiatrist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.