Anderson Podiatry Center PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

ANDERSON PODIATRY CENTER PC

Practice address

1355 Riverside Ave
Suite C
Fort Collins, CO 80524-4368

Phone

(970) 484-4620

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Charles Anderson, DPMNPI 1275577389

Title

Owner

Phone

(970) 484-4620

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Poudre Valley Foot and Ankle Clinic PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 8

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

• James C Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Collins, CO
  • NPI 1275577389
  Medicare reassignment Care Compare group Authorized official
• Steven M Atkins, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Englewood, CO
  • NPI 1518995877
  Medicare reassignment Care Compare group NPD
• Cassandra Lee Bradley, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Collins, CO
  • NPI 1942566492
  Medicare reassignment Care Compare group NPD
• Mary A. Bolgeo, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Fort Collins, CO
  • NPI 1578551057
  Medicare reassignment NPD
• Keyvan Ganz, DPM

  • Podiatrist
  • Modesto, CA
  • NPI 1538104096

  CO, Foot & Ankle Surgery

  Medicare reassignment NPD
• Jennifer M Sealman, RN

  • Certified Registered Nurse Anesthetist
  • Loveland, CO
  • NPI 1427315993
  Medicare reassignment
• Timothy Fisher, DPM

  • Podiatrist
  • Cheyenne, WY
  • NPI 1275623001
  NPD (past)
• Todd B Haddon, DPM

  • Podiatrist
  • Mesa, AZ
  • NPI 1598751026

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1457571127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE",
            "address_2": "SUITE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244368",
            "telephone_number": "970-484-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE",
            "address_2": "SUITE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244368",
            "telephone_number": "970-484-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-484-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "4800195741",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04013090",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ4464",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109240500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poudre Valley Foot and Ankle Clinic PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• An Enduring Love, Co
• Treanna Iris Anastasia, APN, WHNP, RN
• Anderson Family Chiropractic, P.C.
• Robin Anderson Kepler, MS LMFT
• Anderson Medical Procedures LLC
• Alexis Elizabeth Anderson
• Alyssa Anderson, LPC
• Brandon Anderson, PHARM D.
• Brittany Ann Anderson, LPC
• Carole Michele Anderson, D.O.

• Primary Podiatric Medicine Podiatrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Primary Podiatric Medicine Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.