Academy Heights Foot Clinic PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ACADEMY HEIGHTS FOOT CLINIC PC

Practice address

1512 N Union Blvd
Colorado Springs, CO 80909-2884

Phone

(719) 632-7878

Fax

(719) 574-9749

NPI assigned

Dec 3, 2020

Organization subpart

Yes

Parent organization

ACADEMY HEIGHTS FOOT CLINIC PCAs reported in NPPES

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

Authorized official

Name

Lee T Fleming, DPM

Title

President

Phone

(719) 574-9800

Specialties & licenses 1

Addresses

Other names 1

• Colorado Springs Foot and Ankle Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Academy Heights Foot Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
  • NPI 1265593594

  8426054057

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Academy Heights Foot Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
  • NPI 1265593594

  O20061004000579

  Same enrollment

Tax ID family

Academy Heights Foot Clinic2 organizations share this tax ID, including this one

Part of

Academy Heights Foot Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Academy Heights Foot Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
  • NPI 1265593594
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Academy Heights Foot Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
  • NPI 1265593594
  NPPES parent name

Practitioners 1

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

• Sebastian Studnicka, DPM

  • Podiatrist
  • Colorado Springs, CO
  • NPI 1528756038
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1962007211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9040",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808669040",
            "telephone_number": "719-574-9800",
            "fax_number": "719-960-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092884",
            "telephone_number": "719-632-7878",
            "fax_number": "719-574-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY HEIGHTS FOOT CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADEMY HEIGHTS FOOT CLINIC PC",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-574-9800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Springs Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Academy Heights Foot Clinic PC
• Academy Kids Dental Center PC
• Academy Kids Dental Center PC
• Academy Kids Vision Center LLC
• Academy Kids Vision Center LLC
• Academy Laser Dentistry PC

• Foot & Ankle Surgery Podiatrist in Colorado Springs, CO
• Providers in Colorado Springs, 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 Dec 3, 2020; 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.