Kovac Foot Surgery Center PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KOVAC FOOT SURGERY CENTER PLLC

Doing business as

Idaho Foot Surgery Center

Practice address

1540 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone

(208) 529-8393

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Kylin Kovac, DPMNPI 1417261744

Title

Owner

Phone

(208) 529-8393

Specialties & licenses 1

Addresses

Other names 1

• Idaho Foot Surgery Center Doing business as

Practitioners 1

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.

• Kylin Kovac, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Idaho Falls, ID
  • NPI 1417261744
  NPD (past) Authorized official

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1922442805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-529-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-529-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVAC FOOT SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "KOVAC",
        "authorized_official_first_name": "KYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-529-8393",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Foot Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Michelle Koller, SUDA
• Neil Tetsuo Komoda, PHARMACIST
• Izabella Koon
• Brooke Kortekaas
• Cathy S Kotter, LPC
• Kylin Kovac, D.P.M.
• Kelsie Krahenbuhl
• Brianna Krainchich, PA-C
• Leland K Krantz II, M.D.
• Andrew Krause

• Ambulatory Surgical Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.