Organization Active NPI

Eto Podiatry Clinic

  • Podiatrist
  • Caldwell, ID
National Provider Identifier
1689848038
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ETO PODIATRY CLINIC
Practice address
112 W Logan St
Caldwell, ID 83605-4731
Phone
(208) 459-0891
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Amy Ney
Title
Medical Biller
Phone
(208) 455-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

112 W Logan St
Caldwell, ID 83605-4731

Mailing address

112 W Logan St
Caldwell, ID 83605-4731
Phone (208) 459-0891

National Provider Directory

National Provider Directory

Locations

112 W Logan St
Caldwell, ID 83605
Phone (208) 459-0891

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1689848038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W LOGAN ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054731",
            "telephone_number": "208-459-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W LOGAN ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054731",
            "telephone_number": "208-459-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETO PODIATRY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "NEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "208-455-1400"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.