Big Horn Ankle & Foot LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BIG HORN ANKLE & FOOT LLC

Practice address

777 Avenue H
Powell, WY 82435-2260

Phone

(307) 754-9191

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Lael Beachler, DPMNPI 1922241181

Title

Owner

Phone

(307) 754-9191

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY2 enrollments

Enrollment records 2

Tax ID family

Big Horn Ankle Foot LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Big Horn Foot Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Powell, WY
  • NPI 1245365154
  NPD tax ID

Locations

Practitioners 1

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

• Lael J. Beachler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Powell, WY
  • NPI 1922241181
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1629571963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HORN ANKLE & FOOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "BEACHLER",
        "authorized_official_first_name": "LAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-754-9191",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony M Belmont III III, CRNA
• Benjamen Bennett
• Gregory James Bennett, LAT
• Myra F Bennett, CAP-128
• Betty Louise Life Services LLC
• Big Horn Basin Mental Health Group
• Big Horn Basis Mental Health Group
• Big Horn Behavior Consulting
• Big Horn Foot Clinic PC
• Bighorn Valley Health Center Incorporated

• Foot & Ankle Surgery Podiatrist in Powell, WY
• Providers in Powell, WY by specialty
• Foot & Ankle Surgery Podiatrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.