| Rocky Mountaint Foot & Ankle | |
|
2667 E Gala Ct Ste 130, Meridian, ID 83642-2788 | |
| (208) 795-5090 | |
| Not Available |
| Full Name | Rocky Mountaint Foot & Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2667 E Gala Ct Ste 130, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649563347 | NPI | - | NPPES |
| 808001900 | Medicaid | ID | |
| 000000000154263 | Other | ID | REGENCE |
| P9383 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | P197 (Idaho) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | P197 (Idaho) | Primary |
| Provider Name | Phillip R Burk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306064258 PECOS PAC ID: 1254419492 Enrollment ID: I20080429000168 |
| Provider Name | Jed Holbrook Erickson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114207917 PECOS PAC ID: 5395969679 Enrollment ID: I20140605001921 |
| Provider Name | Justin Paul Hooker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013250950 PECOS PAC ID: 8628361136 Enrollment ID: I20160721000412 |
| Provider Name | Rachelle C. Friesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629622758 PECOS PAC ID: 5890121032 Enrollment ID: I20200205002951 |
| Provider Name | Mike C. Laur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609846237 PECOS PAC ID: 1355373572 Enrollment ID: I20221004003532 |
| Provider Name | Steven L Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760045538 PECOS PAC ID: 1759712094 Enrollment ID: I20230920004394 |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountaint Foot & Ankle 1818 S 10th Ave, #250, Caldwell, ID 83605-4803 Ph: (208) 855-5955 | Rocky Mountaint Foot & Ankle 2667 E Gala Ct Ste 130, Meridian, ID 83642-2788 Ph: (208) 795-5090 |
Treasure Valley Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 3120 W Belltower Dr Ste 100, Meridian, ID 83646 Phone: 208-516-3617 Fax: 208-314-2029 | |
Innovation Medical Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 745 S Progress Ave Ste 150, Meridian, ID 83642 Phone: 208-813-1958 Fax: 208-600-6905 | |
Dr. Kurt Earl Kinghorn, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1540 W Cayuse Creek Dr, Meridian, ID 83646 Phone: 208-344-3324 Fax: 208-344-4349 | |
Dr. Clark A Johnson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3120 W Belltower Dr Ste 100, Meridian, ID 83646 Phone: 208-516-3617 Fax: 208-314-2029 | |
Family Foot And Ankle Of Idaho L L C Podiatrist Medicare: Medicare Enrolled Practice Location: 3597 E Monarch Sky Lane, Suit 240 Pmb 2358, Meridian, ID 83646 Phone: 208-996-3519 Fax: 208-906-2195 | |
Mike C. Laur, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2667 E Gala Ct Ste 130, Meridian, ID 83642 Phone: 208-855-5955 Fax: 208-459-8628 |