Andrew H Burgon Podiatry LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Farr West, UT
NPI 1922569672 · NPPES record last updated Dec 29, 2025
Key facts
- NPI
- 1922569672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ANDREW H BURGON PODIATRY LLC
- Practice address
- 1761 N 2000 W Ste 6
Farr West, UT 84404-9541 - Phone
- (801) 564-1562
- Fax
- (801) 689-2594
- NPI assigned
- Mar 26, 2019
- Organization subpart
- No
Authorized official
- Name
- Andrew Harris Burgon, DPM
- Title
- DPM/Owner
- Phone
- (435) 760-7313
Practitioners 1
-
Andrew Harris Burgon, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190816000001 | UT | Part B Supplier - Clinic/Group Practice | 8022345859 |
Receives reassigned benefits from 1 practitioner Practice locations: Farr West, UT |
| O20201110002534 | UT | DME Supplier - Physician - Podiatry | 8022345859 | Practice locations: Farr West, UT |
National Provider Directory
Locations
1761 N 2000 W
Ste 6
Farr West, UT 84404
Phone (801) 564-1562
1761 N 2000 W
Ogden, UT 84404
Phone (801) 731-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
1761 N 2000 W Ste 6
Farr West, UT 84404-9541
Mailing address
1761 N 2000 W Ste 6
Farr West, UT 84404-9541
Phone (801) 564-1562
Other names
- Summit Foot And Ankle
Other providers in Farr West, UT
- Aim-Autism in Motion, Corp
- Julie Allen
- Anderson Care Home
- Destiny Lynn Arroyo
- Sarah Ashton
- Thomas J Baker
- Thalia Barnett
- Taylor Bell
All providers in Farr West, 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 Dec 29, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.