Organization Active NPI

Eagle-Summit Foot & Ankle, P.C.

  • Podiatrist
  • Avon, CO
National Provider Identifier
1396512125
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
EAGLE-SUMMIT FOOT & ANKLE, P.C.
Practice address
50 Buck Creek Rd Ste 205
Avon, CO 81620-5428
Phone
(970) 949-0500
Fax
(970) 949-0642
NPI assigned
Dec 12, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Brian Thomas Maurer, DPMNPI 1912093071
Title
Owner
Phone
(970) 949-0500

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

50 Buck Creek Rd Ste 205
Avon, CO 81620-5428

Mailing address

3701 Algonquin Rd Ste 470
Rolling Meadows, IL 60008-3152
Phone (888) 453-0080

National Provider Directory

National Provider Directory
Tax ID family
Eagle-Summit Foot Ankle P4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3701 Algonquin Rd
Ste 470
Rolling Meadows, IL 60008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1396512125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD STE 470",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083152",
            "telephone_number": "888-453-0080",
            "fax_number": "224-732-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 205",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-949-0500",
            "fax_number": "970-949-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE-SUMMIT FOOT & ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-949-0500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.