Organization Active NPI

Foot Surgical Center, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Sioux Falls, SD
National Provider Identifier
1730356189
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
162 Issued in SD
Legal business name
FOOT SURGICAL CENTER, P.C.
Practice address
3217 S Carolyn Ave
Sioux Falls, SD 57106-0744
Phone
(605) 362-7997
Fax
(605) 362-7930
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Robert Joseph Heath, DPMNPI 1538133368
Title
President
Phone
(605) 362-7997

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 162 SD Primary

Addresses

Primary practice location

3217 S Carolyn Ave
Sioux Falls, SD 57106-0744

Mailing address

3217 S Carolyn Ave
Sioux Falls, SD 57106-0744
Phone (605) 362-7997

Other identifiers 1

IdentifierTypeStateIssuer
6802022MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100105000618 SD Part B Supplier - Clinic/Group Practice 5799826350 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD
O20100930079203 SD DME Supplier - Physician - Podiatry 5799826350 Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

3217 S Carolyn Ave
Sioux Falls, SD 57106
Phone (605) 362-7997

Practitioners & affiliated clinicians

Practitioners 1

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1730356189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 S CAROLYN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060744",
            "telephone_number": "605-362-7997",
            "fax_number": "605-362-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 S CAROLYN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060744",
            "telephone_number": "605-362-7997",
            "fax_number": "605-362-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SURGICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-362-7997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6802022",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.