Creswell Foot & Ankle Surgery
NPI 1699508929ActiveOrganization· Podiatrist· Wallace, ID
Podiatrist in Wallace, Idaho, registered in NPPES in August 2024. The authorized official on file is Jimmy Price, Credentialing Coordinator. Enrolled in Medicare as dme supplier - orthotic personnel.
Overview
| NPI | 1699508929 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2024 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
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 - Orthotic Personnel (ID) |
|---|
Other Podiatrist providers in Wallace
- 1710506456