Idaho Foot Center PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

P93 Issued in ID

Legal business name

IDAHO FOOT CENTER PC

Practice address

1540 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone

(208) 529-8393

Fax

(208) 529-8398

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Buce G Tolman, DPM

Title

Physician/ Provider

Phone

(208) 529-8393

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1639419112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-529-8393",
            "fax_number": "208-529-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-529-8393",
            "fax_number": "208-529-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FOOT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "TOLMAN",
        "authorized_official_first_name": "BUCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/ PROVIDER",
        "authorized_official_telephone_number": "208-529-8393",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025121",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idaho Falls Surgical Center
• Idaho Falls Surgical Center
• Idaho Falls Surgical Specialists, PLLC
• Idaho Family Vision PLLC
• Idaho Foot Center
• Idaho Foot Surgery Center PC
• Idaho Heart Institute PC
• Idaho Heart Physician Group PLLC
• Idaho Holistic Therapy Group
• Idaho Home Health & Hospice, Inc.

• Foot & Ankle Surgery Podiatrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Foot & Ankle Surgery Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.