Foot & Ankle Medical Center Of Nampa, P.a. | |
203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 | |
(208) 466-3338 | |
(208) 466-3554 |
Full Name | Foot & Ankle Medical Center Of Nampa, P.a. |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 203 12th Ave Rd, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033235783 | NPI | - | NPPES |
808001900 | Medicaid | IL | |
000010015689 | Other | ID | REGENCE BLUE SHIELD |
001519600 | Medicaid | ID | |
P2446 | Other | ID | BLUE CROSS |
000010167550 | Other | ID | REGENCE BLUE SHIELD |
P2447 | Other | ID | BLUE CROSS |
P9371 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | P-99 (Idaho) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | P-99 (Idaho) | Secondary |
Provider Name | Troy W Fowler |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1235575044 PECOS PAC ID: 3375766025 Enrollment ID: I20160822002775 |
Provider Name | Clark A Johnson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1518225929 PECOS PAC ID: 2264657154 Enrollment ID: I20180219001223 |
Mailing Address | Practice Location Address |
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Foot & Ankle Medical Center Of Nampa, P.a. 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 Ph: (208) 466-3338 | Foot & Ankle Medical Center Of Nampa, P.a. 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 Ph: (208) 466-3338 |
Troy W. Fowler, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 203 12th Ave Rd, Nampa, ID 83686 Phone: 208-466-3338 Fax: 208-466-3554 | |
Dhw Issh Group Physicians Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1660 11th Ave N, Nampa, ID 83687 Phone: 208-442-2812 Fax: 208-467-5978 | |
Phillip Neil Burk, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 203 12th Ave Rd, Suite A, Nampa, ID 83686 Phone: 208-466-3338 Fax: 208-466-3554 |