Center for Advanced Foot and Ankle Surgery PLLC

Key facts

NPI

1508699299

Entity type

Organization (NPI type 2)

Primary specialty

Podiatrist 213E00000X

Legal business name

CENTER FOR ADVANCED FOOT AND ANKLE SURGERY PLLC

Practice address

1633 Medical Center PT
Colorado Springs, CO 80907-5700

Phone

(719) 473-3338

NPI assigned

Aug 20, 2024

Organization subpart

No

Authorized official

Name

George Marc Conner NPI 1184695645

Title

Owner

Phone

(719) 473-3338

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• George Marc Conner, DPM Podiatrist · Colorado Springs, CO · NPI 1184695645
  Medicare reassignment NPD Authorized official CO · PODIATRIST

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2024.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1508699299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075700",
            "telephone_number": "719-473-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075700",
            "telephone_number": "719-473-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED FOOT AND ANKLE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-473-3338"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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