P Praxis·MD
● Active Type 2 · Organization

Advanced Foot & Ankle Center, Llc

Podiatrist·Blackfoot, ID· NPI 1285947705 · Enumerated 2010 · 15 years on NPI
Advanced Foot & Ankle Center, Llc is 1 of 68 podiatrist organizations in Idaho.
NPI age
15 years
Enumerated 2010-07-26
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Managing Member
Last NPPES update
2021-08-06
Source: monthly bulk 2026-05

How this organization compares

Across 68 active podiatrist providers in Idaho.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
9 Airport Rd
Blackfoot, ID 832211702
📞 2087856700fax 2087856767
Mailing address
9 Airport Rd
Blackfoot, ID 832211702
📞 2087856700fax 2087856767

Authorized official

Douglas Stanley Williams, D.P.M.
Managing Member
📞 2087856700

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Podiatrist Primary
    A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
    ID license #P156 taxonomy 213E00000X

Identifiers

TypeValueNotes
01 (ID) 480034721 MEDICARE RAILROAD
05 (ID) 804309300
01 (ID) P1571 BLUE CROSS
01 (ID) 000010015672 BLUE SHIELD
01 (ID) 341488 DMBA
01 (ID) 461973001 DMERC

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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