A Foot Doctor, Pllc in Fargo - Podiatrist
A Foot Doctor, Pllc - NPI 1255505004
A Foot Doctor, Pllc is a Podiatrist in Fargo, North Dakota. A Foot Doctor, Pllc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for A Foot Doctor, Pllc is 1255505004. The last update date is 2010-08-02.
A Foot Doctor, Pllc's current location address is 2631 12th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012320900. The mailing address for A Foot Doctor, Pllc is 2631 12th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | A Foot Doctor, Pllc |
|---|---|
| Address | 2631 12th Ave S, Fargo, North Dakota |
| Phone Number | 7012320900 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Morgan Bruce |
| Credentials | DPM |
| Telephone Number | 7012320900 |
NPI Number Detail
| NPI Number | 1255505004 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2010-08-02 |
Provider Mailing Address Detail
| Address | 2631 12th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581038741 |
| Phone Number | 7012320900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 52 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126502 | MN | HEALTHPARTNERS HPFIN | |
| 13725 | ND | -- | |
| 6796001 | ND | BLUE SHIELD GROUP | |
| 03N87MO | MN | BLUE SHIELD MN GROUP | |
| 2700617 | MN | MEDICA | |
| P00320486 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to A Foot Doctor, Pllc?
The A Foot Doctor, Pllc has been issued the NPI (National Provider Identifier) 1255505004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where A Foot Doctor, Pllc's facilities are situated?
The facilities of A Foot Doctor, Pllc are physically located at the following address: 2631 12Th Ave S, Fargo, ND, 581038741.
What is A Foot Doctor, Pllc's area of expertise and its corresponding taxonomy classification?
The A Foot Doctor, Pllc's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did A Foot Doctor, Pllc receive its 1255505004 assignment from the Centers for Medicare & Medicaid Services?
The A Foot Doctor, Pllc was assigned its 1255505004 on 2008-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding A Foot Doctor, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to A Foot Doctor, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-02.
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