Five Star Feet, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

147 Issued in WY

Legal business name

FIVE STAR FEET, LLC

Practice address

2525 Road 218
Cheyenne, WY 82009-9103

Phone

(262) 960-5101

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin J. Willis, D.P.M.

Title

Doctor of Podiatric Medicine

Phone

(262) 960-5101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1801286778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ROAD 218",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820099103",
            "telephone_number": "262-960-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ROAD 218",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820099103",
            "telephone_number": "262-960-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR FEET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "262-960-5101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WY",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Fisher, LPC
• Timothy Fisher, DPM
• Dillon Fitzgerald
• Patrick Fitzgerald, APRN
• Owen Fitzwater, DPT
• Christian Alexander Flanders, M.D.
• Grant Robert Fleming, PHD
• Valerie Fleming
• Daniel L Fletcher
• Johnnie Fletcher

• Foot & Ankle Surgery Podiatrist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Foot & Ankle Surgery Podiatrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.