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Mountain Crest Foot and Ankle PA

Podiatrist in Idaho Falls, ID · enumerated 2005 · authorized official Timothy Black, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932191996

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain Crest Foot and Ankle PA
Practice address 3652 Washington Pkwy, Idaho Falls, ID, 83404
Fax (208) 528-2802
Enumeration date Aug 16, 2005
Last updated in NPPES Dec 6, 2010

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License P-169 (ID) Primary

Authorized official

Name Timothy Black
Title Owner/Physician

Other identifiers

Identifier Type State Issuer
806462800 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mountain Crest Foot and Ankle PA?
The NPI for Mountain Crest Foot and Ankle PA is 1932191996, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mountain Crest Foot and Ankle PA?
NPPES lists Timothy Black (Owner/Physician) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-06.