Park Center Foot and Ankle
NPI 1629043252ActiveOrganization· Podiatrist· Boise, ID
Podiatrist in Boise, Idaho, registered in NPPES in February 2006. The authorized official on file is Alyssa Barber, Biller. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1629043252 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2006 |
| Last updated in NPPES | Nov 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | P142 | 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) |
|---|
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