Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Crest Foot and Ankle PA

Organization Podiatrist · NPI 1932191996

Mountain Crest Foot and Ankle PA provides Podiatrist services in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3652 Washington Pkwy
Idaho Falls, ID 83404-7573 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 528-8700
Fax: (208) 528-2802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence P-169 (ID)

Record details

NPI number1932191996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Black — Owner/Physician · (208) 528-8700
NPI enumeratedAugust 16, 2005
Last updated in NPPESDecember 6, 2010
Mailing address3652 Washington Pkwy, Idaho Falls, ID 83404-7573

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