Bloomingdale Foot & Ankle Associates, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003453 Issued in IL

Legal business name

BLOOMINGDALE FOOT & ANKLE ASSOCIATES, INC

Practice address

129 Fairfield Way Ste 110
Bloomingdale, IL 60108-1557

Phone

(630) 894-3000

Fax

(630) 894-3050

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Tina Bombard

Title

Billing Manager

Phone

(630) 897-6851

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Paula Petrucci, DPM

  • Podiatrist
  • Bloomingdale, IL
  • NPI 1801922315
  NPD (past)
• Michael Robert Owens, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterloo, IA
  • NPI 1841869724
  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1992959571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FAIRFIELD WAY STE 110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081557",
            "telephone_number": "630-894-3000",
            "fax_number": "630-894-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FAIRFIELD WAY STE 110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081557",
            "telephone_number": "630-894-3000",
            "fax_number": "630-894-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE FOOT & ANKLE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "BOMBARD",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-897-6851"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomingdale Dental Rez, PC
• Bloomingdale Dental, PLLC
• Bloomingdale Family Dental LTD
• Bloomingdale Family Practice S.C
• Bloomingdale Fire Protection District 1
• Bloomingdale General Pediatrics
• Bloomingdale Open MRI, LLC
• Bloomingdale Optical,Inc
• Bloomingdale Pavilion, LLC
• Bloomingdale SCH Dist 13

• Podiatrist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.