Regional Foot and Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2005017337 Issued in MO

Legal business name

REGIONAL FOOT AND ANKLE, LLC

Practice address

785 E Drake St
Bolivar, MO 65613-2739

Phone

(417) 326-6200

Fax

(417) 777-7463

NPI assigned

Aug 1, 2008

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matt Clayton Garrison, D.P.M.

Title

Co-Owner

Phone

(417) 326-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Joshua C Garrison, DPM

  • Podiatrist
  • Rolla, MO
  • NPI 1609888288
  NPD (past)
• Matthew C Garrison, DPM

  • Primary Podiatric Medicine Podiatrist
  • Sacramento, CA
  • NPI 1801808332
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1417113176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 E DRAKE ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132739",
            "telephone_number": "417-326-6200",
            "fax_number": "417-777-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 E DRAKE ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132739",
            "telephone_number": "417-326-6200",
            "fax_number": "417-777-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "417-326-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2005017337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307420505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary L Rae, RPH
• Lakshmi Sravya Rallabandi, DMD
• Zach Reasoner
• Richard G. Reber, M.D.
• Lanie Rae Redd
• Renal Care Group of the Ozarks, LLC (Renal Care Group Bolivar)
• Revive Health Spa LLC
• Revive Medical LLC
• Haris Riaz, M.D.
• Michelle K Rieck, NHA CPH

• Foot & Ankle Surgery Podiatrist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.