Southeast Foot & Ankle Center Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

4705 Issued in AK

Legal business name

SOUTHEAST FOOT & ANKLE CENTER INC

Practice address

7691 Glacier Hwy
Juneau, AK 99801

Phone

(907) 789-5518

Fax

(907) 523-6991

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anh T Lam, DPMNPI 1639367600

Title

Owner Podiatrist

Phone

(907) 789-5518

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Anh T Lam, DPM

  • Podiatrist
  • Juneau, AK
  • NPI 1639367600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1699862391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-789-5518",
            "fax_number": "907-523-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-789-5518",
            "fax_number": "907-523-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST FOOT & ANKLE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PODIATRIST",
        "authorized_official_telephone_number": "907-789-5518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AK",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD18491",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Alaska Regional Health Constortium
• Southeast Alaska Regional Health Constortium
• Southeast Alaska Therapies, LLC
• Southeast Alaska Urology, LLC
• Southeast Dental Group, PC
• Southeast Furniture Warehouse, Inc
• Southeast Psychiatry
• Southeast Radiology Consultants LLC
• Southeast Urgent Care Incorporated
• Southeast Urology LLC

• Podiatrist in Juneau, AK
• Providers in Juneau, AK by specialty
• Podiatrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.