Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Foot & Ankle Specialists of Idaho, PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1437563699

Foot & Ankle Specialists of Idaho, PC provides Foot & Ankle Surgery Podiatrist services in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1277 E 17th St
Idaho Falls, ID 83404-6126 Not confirmed with CMS for 12 years — call before visiting
Phone: (267) 644-6880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence P-223 (ID)

Record details

NPI number1437563699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Peterson — Doctor Of Podiatric Medicine · (208) 346-7443
NPI enumeratedJune 16, 2014
Last updated in NPPESSeptember 17, 2014
Mailing address1277 E 17th St, Idaho Falls, ID 83404-6126

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