Daniel J Huff Podiatry DPM PC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Providence, UT
NPI 1750580643 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1750580643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- DANIEL J HUFF PODIATRY DPM PC
- Practice address
- 435 N Gateway Dr Ste 801
Providence, UT 84332-9004 - Phone
- (435) 787-1023
- Fax
- (435) 787-1883
- NPI assigned
- Jul 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Daniel J Huff, DPM
- Title
- Owner
- Phone
- (435) 787-1023
Practitioners 5
-
Ben P Boyer, FNP
-
Daniel J Huff, DPM
-
Tia Peterson, NP-C
-
Benjamin Arthur Thomas, D.P.M.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2289210 | Foot & Ankle Center of Cache Valley | Certificate of waiver | Sep 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070828000806 | UT | Part B Supplier - Clinic/Group Practice | 5597857029 |
Receives reassigned benefits from 5 practitioners Practice locations: Providence, UT |
| O20100930011477 | UT | DME Supplier - Physician - Podiatry | 5597857029 | Practice locations: Providence, UT |
National Provider Directory
Locations
435 N Gateway Dr
Ste 801
Providence, UT 84332
Phone (435) 787-1023
272 N Spring Creek Pkwy
Providence, UT 84332
Phone (435) 760-7313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Orthopaedic Foot and Ankle Surgery Physician |
207XX0004X | 59497580501 | UT | |
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Mailing address
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Phone (435) 787-1023
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437364445 | Medicaid | UT |
Other names
- Foot & Ankle Center of Cache Valley
Other providers in Providence, UT
- Tyler Crossley
- Lindsey Lorraine Cua
- Emily Miranda Curdy
- Calie Marie Dalton
- Matthew Dalton
- Susan Norton Dart
- Jodi Foley Dayton
- Penelope Heather Degn
- Stephanie Ann Denniston
- Audrey Draper
All providers in Providence, UT · Foot & Ankle Surgery Podiatrist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.