Active NPI
Indianola Foot and Ankle Clinic PLLC
- Podiatrist
- Indianola, IA
National Provider Identifier
1750099867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- INDIANOLA FOOT AND ANKLE CLINIC PLLC
- Practice address
- 1517 N 1St St
Indianola, IA 50125-3703 - Phone
- (515) 666-1151
- Fax
- (515) 461-9995
- NPI assigned
- Nov 8, 2022
- Last updated
- Jan 31, 2024
- 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
- Randy J Metzger, DPM
- Title
- Owner
- Phone
- (515) 343-4180
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 | Primary |
Addresses
Primary practice location
1517 N 1St St
Indianola, IA 50125-3703
Mailing address
1517 N 1St St
Indianola, IA 50125-3703
Phone (515) 666-1151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1517 N 1st St
Indianola, IA 50125
Phone (515) 666-1222
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Indianola, IA
- NPI 1568776334
-
- Acupuncturist
- Indianola, IA
- NPI 1669554770
-
- Chiropractor
- Indianola, IA
- NPI 1417978511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1750099867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 N 1ST ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501253703",
"telephone_number": "515-666-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 N 1ST ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501253703",
"telephone_number": "515-666-1151",
"fax_number": "515-461-9995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANOLA FOOT AND ANKLE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-08",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "METZGER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-343-4180",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, IA
- Michelle Hunerdosse, ARNP
- Hy-Vee Inc (Hy-Vee Pharmacy (1271))
- Indianola Community School District
- Indianola Dental Associates Inc PC
- Indianola Family Dentistry PLC
- Indianola Ia Assisted Living
- Indianola Ia Skilled Nursing Facility, LLC
- Indianola Ia Skilled Nursing Facility, LLC
- Indianola Pediatric Dentistry
- Indianola Residential, LLC (Indianola Residential)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.