Teton Foot & Ankle Center, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

TETON FOOT & ANKLE CENTER, PC

Practice address

3345 S Holmes Ave
Idaho Falls, ID 83404-7981

Phone

(208) 525-6225

Fax

(208) 528-8022

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael K James, DPMNPI 1629111497

Title

President

Phone

(208) 528-6225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael K. James, DPM

  • Podiatrist
  • Idaho Falls, ID
  • NPI 1629111497
  Medicare reassignment Care Compare group NPD Authorized official
• Bradley James

  • Foot & Ankle Surgery Podiatrist
  • Idaho Falls, ID
  • NPI 1760010615
  Medicare reassignment Care Compare group NPD
• Brenda L Hatch, CRNA

  • Certified Registered Nurse Anesthetist
  • Blackfoot, ID
  • NPI 1740362797
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1952654881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-525-6225",
            "fax_number": "208-528-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-525-6225",
            "fax_number": "208-528-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON FOOT & ANKLE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-528-6225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952654881",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teton Clinical Pharmacy, Inc.
• Teton Clinical Pharmacy, Inc.
• Teton Clinical Pharmacy, Inc.
• Teton Clinical Pharmacy, Inc.
• Teton Counseling Center Inc
• Teton Home Health, LLC
• Teton Hospice
• Teton Hospitalist Services, PLLC
• Teton Microbiology Laboratory
• Teton MRI of Idaho Falls

• Podiatrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.