Advanced Foot & Ankle Center, LLC
NPI 1285947705ActiveOrganization· Podiatrist· Blackfoot, ID
Podiatrist in Blackfoot, Idaho, registered in NPPES in July 2010. The authorized official on file is Douglas Stanley Williams, D.P.M., Managing Member. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1285947705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2010 |
| Last updated in NPPES | Aug 6, 2021 |
| Certified by provider | Aug 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | P156 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Podiatrist providers in Blackfoot
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