Idaho Foot & Ankle Associates

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

IDAHO FOOT & ANKLE ASSOCIATES

Practice address

809 N Liberty St
Boise, ID 83704-8703

Phone

(208) 327-0627

Fax

(208) 376-5258

NPI assigned

Apr 9, 2007

Last updated

Oct 13, 2011By 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

Kimberly R Emmen

Title

Billing Manager

Phone

(208) 327-0627

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Kerry W Anderson, DPM

  • Podiatrist
  • Boise, ID
  • NPI 1659310829
  Medicare reassignment Care Compare group NPD
• Boyd J Andrews, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boise, ID
  • NPI 1720333792

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Adam James Gerber, DPM

  • Podiatrist
  • Caldwell, ID
  • NPI 1780029231
  Medicare reassignment Care Compare group NPD
• Ryan S Kemp, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Boise, ID
  • NPI 1437442290
  Medicare reassignment Care Compare group NPD
• Stewart Owen Jones, DPM

  • Podiatrist
  • Meridian, ID
  • NPI 1083643464
  Medicare reassignment NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1538282116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N LIBERTY ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048703",
            "telephone_number": "208-327-0627",
            "fax_number": "208-376-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N LIBERTY ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048703",
            "telephone_number": "208-327-0627",
            "fax_number": "208-376-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FOOT & ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "EMMEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "208-327-0627"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001970800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002680000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004395700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805793600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002680100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idaho Facial Imaging LLC
• Idaho Family Dental PLLC
• Idaho Family Physicians
• Idaho Family Wellness
• Idaho Federtion of Families (The Brick House)
• Idaho Gastroenterology Associates, LLP
• Idaho GYN/Oncology Services, LLC
• Idaho Hand and Wrist
• Idaho Hand Center, PA
• Idaho Health Screenings & Vaccinations

• Podiatrist in Boise, ID
• Providers in Boise, ID by specialty
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.