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Family Foot Care Clinic, PC

NPI 1104316108ActiveOrganization· Podiatrist· Cedar Rapids, IA

Podiatrist in Cedar Rapids, Iowa, registered in NPPES in May 2018. The authorized official on file is Kevin S. Tanner, DPM, Owner/President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.

Overview

NPI1104316108
StatusActive
Entity typeOrganization
NPI issuedMay 15, 2018
Last updated in NPPESDec 4, 2022
Certified by providerDec 4, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Podiatry (IA); Part B Supplier - Clinic/Group Practice (IA)

Medicare sources and data years

Other Podiatrist providers in Cedar Rapids

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