Active NPI
Foot and Ankle Professional Centers of Iowa, PC
- Podiatrist
- Ottumwa, IA
National Provider Identifier
1710212204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00582
- Legal business name
- FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC
- Practice address
- 520 N Sheridan Ave
Ottumwa, IA 52501-4228 - Phone
- (641) 683-7901
- Fax
- (641) 682-1158
- NPI assigned
- Oct 16, 2009
- Last updated
- May 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Fridinger, D.P.M.
- Title
- Owner
- Phone
- (641) 683-7901
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00582 | IA | Primary |
Addresses
Primary practice location
520 N Sheridan Ave
Ottumwa, IA 52501-4228
Mailing address
520 N Sheridan Ave
Ottumwa, IA 52501-4228
Phone (641) 683-7901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115741 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
520 N Sheridan Ave
Ottumwa, IA 52501
Phone (641) 682-7565
Practitioners & affiliated clinicians
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.
-
- Podiatrist
- Ottumwa, IA
- NPI 1013998145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306195200000",
"number": "1710212204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N SHERIDAN AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525014228",
"telephone_number": "641-683-7901",
"fax_number": "641-682-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N SHERIDAN AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525014228",
"telephone_number": "641-683-7901",
"fax_number": "641-682-1158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE PROFESSIONAL CENTERS OF IOWA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-16",
"last_updated": "2011-05-24",
"status": "A",
"authorized_official_last_name": "FRIDINGER",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "641-683-7901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "00582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3115741",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.