Utah Podiatry Group PC
Podiatrist, Foot & Ankle Surgery in Provo, UT. Organization (NPI-2).
Details
- NPI
- 1457737579
- Entity type
- Organization (NPI-2)
- Legal business name
- Utah Podiatry Group PC
- Organization subpart
- Yes
- Enumeration date
- Jul 31, 2015
- Certification date
- Apr 21, 2020
- Last updated
- Apr 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Other names
- Advanced Foot & Ankle Center (Doing Business As)
Practice location
1973 North State StreetProvo, UT 84604-1012
Phone 801-373-2499 · Fax 801-373-5200
Mailing address
Po Box 30015 Dept 380Salt Lake City, UT 84130-0015
Phone 801-373-2499 · Fax 801-373-5200
Authorized official
Susan Marie Taylor
Director Of Operations
8015050821
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Foot & Ankle Surgery Podiatrist providers in Provo · All 6,098 providers in Provo
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