Organization Active NPI

Summit Foot and Ankle Clinic, Inc.

  • Foot & Ankle Surgery Podiatrist
  • St George, UT
National Provider Identifier
1356385348
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
6044606-0501 Issued in UT
Legal business name
SUMMIT FOOT AND ANKLE CLINIC, INC.
Practice address
230 N 1680 E
Suite I-2
St George, UT 84790-2579
Phone
(435) 251-9112
Fax
(435) 251-9114
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Brad S Webb, D.P.M.NPI 1518900562
Title
President
Phone
(435) 251-9112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 6044606-0501 UT Primary

Addresses

Primary practice location

230 N 1680 E
Suite I-2
St George, UT 84790-2579

Mailing address

230 N 1680 E
Suite I - 2
St George, UT 84790-2579
Phone (435) 251-9112

Other identifiers 1

IdentifierTypeStateIssuer
DF1798OtherPALMETTO GBA

National Provider Directory

National Provider Directory

Locations

230 N 1680 E
Ste I2
St George, UT 84790
Phone (435) 251-9112

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1356385348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E",
            "address_2": "SUITE I - 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "435-251-9112",
            "fax_number": "435-251-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E",
            "address_2": "SUITE I-2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "435-251-9112",
            "fax_number": "435-251-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FOOT AND ANKLE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-251-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "6044606-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DF1798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.