Idaho Foot Surgery Center PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1870101 Issued in ID

Legal business name

IDAHO FOOT SURGERY CENTER PC

Practice address

1540 Elk Creek Dr.
Idaho Falls, ID 83404

Phone

(208) 529-8393

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce G Tolman, DPM

Title

Owner

Phone

(208) 529-8393

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1497768626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR.",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-529-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR.",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-529-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FOOT SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "TOLMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-529-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ID",
            "license": "1870101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002512000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idaho Falls Surgical Center
• Idaho Falls Surgical Specialists, PLLC
• Idaho Family Vision PLLC
• Idaho Foot Center
• Idaho Foot Center PC
• Idaho Heart Institute PC
• Idaho Heart Physician Group PLLC
• Idaho Holistic Therapy Group
• Idaho Home Health & Hospice, Inc.
• Idaho Neurosurgery & Spine PLLC

• Ambulatory Surgical Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.