Rocky Mountain Foot and Ankle Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

367951 Issued in UT

Legal business name

ROCKY MOUNTAIN FOOT AND ANKLE CLINIC

Practice address

777 N 500 W
Suite 105
Provo, UT 84601-1541

Phone

(801) 375-6677

Fax

(801) 375-0346

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kelly Allan Gomez, D.P.M.NPI 1821021957

Title

Podiatrist

Phone

(801) 375-6677

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kelly Allan Gomez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
  • NPI 1821021957
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1356416770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N 500 W STE 105",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015032",
            "telephone_number": "801-375-6677",
            "fax_number": "801-375-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 500 W",
            "address_2": "SUITE 105",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011541",
            "telephone_number": "801-375-6677",
            "fax_number": "801-375-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "801-375-6677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "367951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529084511004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Y. Roby, PH.D.
• Kaylee Rocha
• Rock Canyon Dentistry
• Jason W Rockwood, DPM
• Traci Jessica Rockwood
• Rocky Mountain TMS
• Rocky Mountain University of Health Professions Foundation
• Caleb Rodgers, LCSW
• Greg K Rodgers, CMHC
• Jeremy Dylan Rodgers, MASTER'S STUDENT

• Foot & Ankle Surgery Podiatrist in Provo, UT
• Providers in Provo, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.