Rocky Mountaint Foot & Ankle
LBN: P. Roman Burk Dpm Pc
Rocky Mountaint Foot & Ankle is an health care organization with primary practice located at 2667 E Gala Ct Ste 130 , Meridian ID 83642-2788. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
P. Roman Burk Dpm Pc can be contacted via phone (208) 795-5090, or through Burk, P Roman via phone (208) 855-5955.
Contact Information
Primary practice address
2667 E Gala Ct Ste 130
Meridian ID 83642-2788
Phone: (208) 795-5090
Fax:
Website:
Authorized official contact:
Name: Burk, P Roman Doctor of Podiatric Medicine (DPM)
Phone: (208) 855-5955
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | P197 | Idaho |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | P197 | Idaho |
Profile Details
| NPI number | 1649563347 |
|---|---|
| LBN Legal business name | P. Roman Burk Dpm Pc |
| DBA Doing business as | Rocky Mountaint Foot & Ankle |
| Authorized official | Burk, P Roman Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2011 |
| Last updated | Sep 13th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649563347 | NPPES |
| Idaho | MEDICAID | 808001900 | |
| Idaho | Other | 000000000154263 | |
| Idaho | Other | P9383 |
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