Organization Active NPI

Town Square Family Foot Care, PC

  • Podiatric Clinic/Center
  • Coralville, IA
National Provider Identifier
1538829148
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
TOWN SQUARE FAMILY FOOT CARE, PC
Practice address
501 12TH Ave Ste 203
Coralville, IA 52241-1774
Phone
(319) 341-3668
Fax
(319) 382-0003
NPI assigned
Dec 22, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Jill H Scholz, DPM
Title
President
Phone
(319) 341-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

501 12TH Ave Ste 203
Coralville, IA 52241-1774

Mailing address

501 12TH Ave Ste 203
Coralville, IA 52241-1774
Phone (319) 341-3668

Other names 1

  • Jill H. Scholz Former legal business name

National Provider Directory

National Provider Directory

Locations

501 12th Ave
Ste 203
Coralville, IA 52241
Phone (319) 341-3668

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1538829148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 12TH AVE STE 203",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411774",
            "telephone_number": "319-341-3668",
            "fax_number": "319-382-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 12TH AVE STE 203",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411774",
            "telephone_number": "319-341-3668",
            "fax_number": "319-382-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN SQUARE FAMILY FOOT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "SCHOLZ",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-341-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill H. Scholz",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.