NPIMap

Organization Active NPI

Foot & Ankle Center of Southern Colorado PC

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
National Provider Identifier
1669548988
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE CENTER OF SOUTHERN COLORADO PC
Practice address
455 E Pikes Peak Ave Ste 220
Colorado Springs, CO 80903-3673
Phone
(719) 475-8080
Fax
(719) 475-0913
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Eric J Gessner, DPMNPI 1629198213
Title
Managing Owner
Phone
(719) 475-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

455 E Pikes Peak Ave Ste 220
Colorado Springs, CO 80903-3673

Mailing address

455 E Pikes Peak Ave
Suite 220
Colorado Springs, CO 80903-3648
Phone (719) 475-8080

Other practice location 1

4105 Briargate Pkwy Ste 235
Colorado Springs, CO 80920-7844
Phone (719) 475-8080 ext. 71947

Other names 1

  • Colorado Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070115000147 CO Part B Supplier - Clinic/Group Practice 9739189804 Receives reassigned benefits from 5 practitioners
Practice locations: Colorado Springs, CO
O20100930016242 CO DME Supplier - Physician - Podiatry 9739189804 Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Foot Ankle Ctr of Southern3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1669548988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "address_2": "SUITE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033648",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033673",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Briargate Pkwy Ste 235",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207844",
            "country_code": "US",
            "telephone_number": "719-475-8080 x71947",
            "fax_number": "719-475-0913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT & ANKLE CENTER OF SOUTHERN COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "GESSNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "719-475-8080",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.