Ap Foot and Ankle Specialists PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

648 Issued in CO

Legal business name

AP FOOT AND ANKLE SPECIALISTS PC

Practice address

509 Colorado Ave
Suite D
Pueblo, CO 81004-2008

Phone

(719) 544-5958

Fax

(719) 544-5991

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Arlin Ray Peterson, DPMNPI 1396721544

Title

Owner

Phone

(719) 544-5958

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Arlin Ray Peterson, DPM

  • Podiatrist
  • Pueblo, CO
  • NPI 1396721544
  Medicare reassignment NPD Authorized official
• Mark Clark, DPM

  • Foot Surgery Podiatrist
  • Pueblo, CO
  • NPI 1912324351
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1386769784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3026",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810050026",
            "telephone_number": "719-544-5958",
            "fax_number": "719-544-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 COLORADO AVE",
            "address_2": "SUITE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042008",
            "telephone_number": "719-544-5958",
            "fax_number": "719-544-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP FOOT AND ANKLE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ARLIN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-544-5958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19907541",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DD7813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Elaine Anselmo, PHARMD
• Anthony Knowlton DDS
• Gwynn Antonson, D.O.
• Roxanne Antu
• Hasan Aoun, DO
• Apex Audiology LLC
• Maria Appenzeller, MA, CCC, SLP
• Martin Appenzeller, MD
• Applied Behavioral Concepts, LLC
• Apria Healthcare LLC

• Foot & Ankle Surgery Podiatrist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.