Madison Foot & Ankle Care, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P-146 Issued in ID

Legal business name

MADISON FOOT & ANKLE CARE, PA

Practice address

25 Madison Professional Park
Rexburg, ID 83440-2057

Phone

(208) 359-1400

Fax

(208) 356-3387

NPI assigned

Feb 13, 2007

Last updated

Nov 1, 2007By 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

Mrs. Terri L Barton

Title

Secretary-Treasurer

Phone

(208) 359-1400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1912049248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402057",
            "telephone_number": "208-359-1400",
            "fax_number": "208-356-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402057",
            "telephone_number": "208-359-1400",
            "fax_number": "208-356-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON FOOT & ANKLE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "208-359-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P-146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8077990",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Madison Memorial Hospital
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• Podiatrist in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.