Foot & Ankle Clinics of Utah, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

103460-0501 Issued in UT

Legal business name

FOOT & ANKLE CLINICS OF UTAH, P.C.

Practice address

504 E 770 N
Orem, UT 84097-4101

Phone

(801) 765-1718

Fax

(801) 224-2195

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Whitney Lofthouse

Title

Credentialing Specialist

Phone

(435) 631-9035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

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

• Scott Romney McKell, DPM

  • Podiatrist
  • Orem, UT
  • NPI 1497820054
  Medicare reassignment NPD
• Matthew G. Ollerton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Springville, UT
  • NPI 1518959733
  Medicare reassignment NPD
• Stanley J Phillips, DPM

  • Foot Surgery Podiatrist
  • American Fork, UT
  • NPI 1841202397
  Medicare reassignment NPD
• Kelly Allan Gomez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
  • NPI 1821021957
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668211200000",
    "number": "1508994955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974101",
            "telephone_number": "801-765-1718",
            "fax_number": "801-224-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974101",
            "telephone_number": "801-765-1718",
            "fax_number": "801-224-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CLINICS OF UTAH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A",
        "authorized_official_last_name": "LOFTHOUSE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "435-631-9035"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "103460-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Foell, CSW
• Channing Fogg
• Jon Gennaro Follano
• Aimee Fonger, DPT
• Trel Fonnesbeck
• Taylor Foote
• Sierra Ford
• Brooklyn Fordham
• Felicia Fordham
• Robert Fordham

• Podiatrist in Orem, UT
• Providers in Orem, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.