NPIMap

Organization Active NPI

Foot Care Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Sheridan, WY
National Provider Identifier
1699806356
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
94 Issued in WY
Legal business name
FOOT CARE CENTER LLC
Practice address
132 N Gould St
Sheridan, WY 82801-3928
Phone
(307) 672-3457
Fax
(307) 674-1527
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Craig J McLaws, DPMNPI 1295744647
Title
Director
Phone
(307) 672-3457

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 94 WY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 94 WY

Addresses

Primary practice location

132 N Gould St
Sheridan, WY 82801-3928

Mailing address

132 N Gould St
Sheridan, WY 82801-3928
Phone (307) 672-3457

Other identifiers 1

IdentifierTypeStateIssuer
118124600MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080214000209 WY Part B Supplier - Clinic/Group Practice 2668555665 Receives reassigned benefits from 2 practitioners
Practice locations: Sheridan, WY
O20100930079282 WY DME Supplier - Physician - PodiatryDME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 2668555665 Practice locations: Sheridan, WY
O20131002000359 MT Part B Supplier - Clinic/Group Practice 2668555665 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Billings, MT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

513 Hilltop Rd
Billings, MT 59105
Phone (406) 252-5444

59 Western Ave
Buffalo, WY 82834
Phone (307) 684-1331

1990 W Loucks St
Sheridan, WY 82801
Phone (307) 672-9789

Practitioners & affiliated clinicians

Practitioners 4

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1699806356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013928",
            "telephone_number": "307-672-3457",
            "fax_number": "307-674-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013928",
            "telephone_number": "307-672-3457",
            "fax_number": "307-674-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MCLAWS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-672-3457",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WY",
            "license": "94",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": "94",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118124600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.