Staci Bogin, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD-698 Issued in CO

Practice address

3655 E 104TH Ave
Suite B
Thornton, CO 80233-4469

Phone

(720) 328-2022

Fax

(720) 328-1224

NPI assigned

Jul 19, 2010

Last updated

Sep 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Staci McCorvey Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Foot & Ankle Clinic

  • Primary Podiatric Medicine Podiatrist
  • Thornton, CO
  • NPI 1720428626

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Elite Foot & Ankle Clinic

  • Durable Medical Equipment & Medical Supplies
  • Thornton, CO
  • NPI 1174245088
  NPD Authorized official
• Save Your Sole Foot and Ankle Specialists PC

  • Podiatrist
  • Fort Collins, CO
  • NPI 1265492904
  NPD
• Save Your Sole Foot and Ankle Specialists PC

  • Podiatrist
  • Windsor, CO
  • NPI 1700451515
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  dba HCA HealthONE Mountain Ridge Hospital

  • General Acute Care Hospital
  • Thornton, CO
  • NPI 1821042979
  Care Compare affiliation
• HCA-Healthone LLC

  dba HCA HealthONE Northeast ER, A part of Mountain Ridge Hospital

  • Emergency Care Clinic/Center
  • Thornton, CO
  • NPI 1447815881

  Hospital

  Care Compare affiliation
• HCA-Healthone LLC

  dba HCA HealthONE Northwest ER, A part of Mountain Ridge Hospital

  • Emergency Care Clinic/Center
  • Westminster, CO
  • NPI 1639734072

  Hospital

  Care Compare affiliation
• HCA-Healthone, LLC

  dba HCA HealthONE Airlife

  • Ambulance
  • Aurora, CO
  • NPI 1366499113

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1902119902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 E 120TH AVE",
            "address_2": "#337",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331658",
            "telephone_number": "720-328-2022",
            "fax_number": "720-328-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE",
            "address_2": "SUITE B",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334469",
            "telephone_number": "720-328-2022",
            "fax_number": "720-328-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGIN",
        "first_name": "STACI",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD-698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO PODIATRY LICENSE",
            "identifier": "POD-698",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "MCCORVEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittney Bobadilla, LCSW
• Mary Irene Bobye, APRN
• Christopher Bockrath, DDS
• Jenna Bogan, M.A.
• Paul Bogan, M.D.
• Dallas Bogner, MD
• Bohique Counseling
• Nicole Bohn
• Stephanie Michelle Bolan, RRT
• Travis Boland

• Foot & Ankle Surgery Podiatrist in Thornton, CO
• Providers in Thornton, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.