ANDERSON PODIATRY CENTER/SURGERY – NPI #1013116938
Clinic/Center

ANDERSON PODIATRY CENTER/SURGERY is an AHC clinic located in FORT COLLINS, CO. NPPES has assigned the NPI number 1013116938 to ANDERSON PODIATRY CENTER/SURGERY on July 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANDERSON PODIATRY CENTER/SURGERY” is a dba name, the actual legal business name for this organization is FOOT SURGERY CENTER OF NORTHERN COLORADO LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 12 years ago on Oct 21, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDERSON PODIATRY CENTER/SURGERY below.

NPI Profile for
FOOT SURGERY CENTER OF NORTHERN COLORADO LLC

NPI Number
1013116938
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOOT SURGERY CENTER OF NORTHERN COLORADO LLC
Doing Business As (dba): ANDERSON PODIATRY CENTER/SURGERY
Primary location
1355 RIVERSIDE AVE
SUITE B
FORT COLLINS, CO 80524
Phone: (970) 484-4620 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES ANDERSON
OWNER
Phone: (970) 484-4620
Updated
Identifiers

Identifiers for ANDERSON PODIATRY CENTER/SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE - RRCO490003559
MEDICAIDCO04510368
MEDICAIDWY114239900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
CO 662

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.