Foot and Ankle Clinic of Spokane Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

P218 Issued in ID

Legal business name

FOOT AND ANKLE CLINIC OF SPOKANE INC

Practice address

8944 N Hess St # a
Hayden, ID 83835-9183

Phone

(208) 762-0909

NPI assigned

Dec 25, 2015

Last updated

Dec 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Mendoza Babol, DPMNPI 1528050994

Title

Owner- Doctor

Phone

(509) 928-8181

Specialties & licenses 4

Addresses

Other names 1

• Jacqueline M Babol Other name

Locations

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.

• Jacqueline Mendoza Babol, DPM

  • Podiatrist
  • Spokane, WA
  • NPI 1528050994
  NPD Authorized official

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

{
    "created_epoch": "1451001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451001600000",
    "number": "1679938294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 E SPRAGUE AVE # 278",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063601",
            "telephone_number": "509-928-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8944 N HESS ST # A",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359183",
            "telephone_number": "208-762-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CLINIC OF SPOKANE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-25",
        "last_updated": "2015-12-25",
        "status": "A",
        "authorized_official_last_name": "BABOL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "OWNER- DOCTOR",
        "authorized_official_telephone_number": "509-928-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "P218",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ID",
            "license": "P218",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "ID",
            "license": "P218",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ID",
            "license": "P218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacqueline M Babol",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Hayden, ID
• Providers in Hayden, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2015; 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.