| Foot & Ankle Specialists Of Utah | |
|
596 W 750 S, Suite 200, Bountiful, UT 84010-7268 | |
| (801) 292-4425 | |
| (801) 397-1938 |
| Full Name | Foot & Ankle Specialists Of Utah |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 596 W 750 S, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639200215 | NPI | - | NPPES |
| 74619 | Other | UT | PEHP |
| 529471093001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | David S Mehr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497795728 PECOS PAC ID: 3678597846 Enrollment ID: I20060116000299 |
| Provider Name | Kim A Halladay |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902809528 PECOS PAC ID: 5193730786 Enrollment ID: I20060220000073 |
| Provider Name | Bryan L Seagle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194799247 PECOS PAC ID: 3173585189 Enrollment ID: I20070807000146 |
| Provider Name | Ryan Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053334730 PECOS PAC ID: 8426080037 Enrollment ID: I20100122000699 |
| Provider Name | David George Mckenzie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245541937 PECOS PAC ID: 5092940593 Enrollment ID: I20131126000491 |
| Provider Name | Ryan L Westbroek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144608050 PECOS PAC ID: 1658685359 Enrollment ID: I20150807014137 |
| Provider Name | Douglas Toole |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740543834 PECOS PAC ID: 8820304058 Enrollment ID: I20150902000635 |
| Provider Name | Jason W Rockwood |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801962121 PECOS PAC ID: 0547274268 Enrollment ID: I20161031001794 |
| Provider Name | Alexander P Ramirez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649685181 PECOS PAC ID: 2365710159 Enrollment ID: I20170620002083 |
| Provider Name | David Matthew Graff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144635038 PECOS PAC ID: 9537424361 Enrollment ID: I20180529002189 |
| Provider Name | Shawn D Isaeff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205803897 PECOS PAC ID: 7214820810 Enrollment ID: I20191204000684 |
| Provider Name | Derek Anselmo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508386665 PECOS PAC ID: 4183055577 Enrollment ID: I20210426001438 |
| Provider Name | Riley Rampton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073049458 PECOS PAC ID: 4587085774 Enrollment ID: I20210511002313 |
| Provider Name | Sandra Patricia Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710587332 PECOS PAC ID: 2062821473 Enrollment ID: I20210513002733 |
| Provider Name | Julien Adicho |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134612872 PECOS PAC ID: 8123429578 Enrollment ID: I20210623002249 |
| Provider Name | Timothy Chan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790955367 PECOS PAC ID: 9537297940 Enrollment ID: I20210623002956 |
| Provider Name | Uche Nkiru Motanya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720577042 PECOS PAC ID: 5799186169 Enrollment ID: I20210623003699 |
| Provider Name | Christopher Kiser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295221869 PECOS PAC ID: 8224439344 Enrollment ID: I20210628001164 |
| Provider Name | Niari Anne Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114690435 PECOS PAC ID: 2860896115 Enrollment ID: I20210809001187 |
| Provider Name | Benjamin Bauer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417392481 PECOS PAC ID: 0648578740 Enrollment ID: I20240424001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot & Ankle Specialists Of Utah Po Box 1249, Bountiful, UT 84011-1249 Ph: (801) 296-2113 | Foot & Ankle Specialists Of Utah 596 W 750 S, Suite 200, Bountiful, UT 84010-7268 Ph: (801) 292-4425 |
Dr. Ryan K Anderson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 596 W 750 S, Suite 200, Bountiful, UT 84010 Phone: 801-292-4425 Fax: 801-397-1938 | |
Dr. Bryan L Seagle, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 596 W 750 S Ste 200, Bountiful, UT 84010 Phone: 801-292-4425 | |
Dr.rodney M. Jex Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 Medical Dr, Ste 215, Bountiful, UT 84010 Phone: 801-292-9222 Fax: 801-298-3987 | |
Dr. Christopher Kiser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 596 W 750 S Ste 200, Bountiful, UT 84010 Phone: 801-507-3747 | |
Dr. Greogry J. Gulso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 415 Medical Dr Ste C200, Bountiful, UT 84010 Phone: 801-294-8266 Fax: 801-294-8265 | |
Utah Podiatry Group Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 440 Medical Dr, Ste 1, Bountiful, UT 84010 Phone: 801-295-5070 Fax: 801-774-0735 |