Park Center Foot and Ankle

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P142 Issued in ID

Legal business name

PARK CENTER FOOT AND ANKLE

Practice address

671 E. Riverpark Lane
Ste 110
Boise, ID 83706

Phone

(208) 387-0900

Fax

(208) 345-5883

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Alyssa Barber

Title

Biller

Phone

(208) 387-0900

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Park Center Foot & Ankle Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Randy Edward Lowe, DPM

  • Primary Podiatric Medicine Podiatrist
  • Boise, ID
  • NPI 1801071550
  Medicare reassignment NPD

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1629043252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E. RIVERPARK LANE",
            "address_2": "STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-387-0900",
            "fax_number": "208-345-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E. RIVERPARK LANE",
            "address_2": "STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-387-0900",
            "fax_number": "208-345-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CENTER FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "208-387-0900"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002725800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "P1423",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS OF ID",
            "identifier": "000010015660",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA8994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Center Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Center Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Michel Pardue, SLP
• Mark G Parent, MD
• Karrie Ann Pargman
• Grace Macall Pariseau
• Alyssa Lejeana Parish
• Parkcenter Oral and Maxillofacial Surgery
• Parkcenter Smiles LLC
• Carolyn Parker
• Johnna L Parker, M.A.,CCC-SLP
• Karen Patrice Parker, MS

• 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 Nov 13, 2023; 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.