NPI age
18 years
Enumerated 2007-07-03
● Active Type 2 · Organization
Podiatry Services Of Idaho, Pllc
Podiatry Services Of Idaho, Pllc is 1 of 68 podiatrist organizations in Idaho.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harris
Ceo
Last NPPES update
2022-03-01
Source: monthly bulk 2026-05
How this organization compares
Across 68 active podiatrist providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
229 E Logan St
Caldwell, ID 836054835
Mailing address
1105 E Ustick Rd
Caldwell, ID 836056306
Authorized official
Camille Elizabeth Harris, DPM
Ceo
📞 2084026587
Specialties
-
Podiatrist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 023111 | |
| 01 (OR) | P00251554 | RAILROAD MEDICARE |
| 01 (OR) | DD5083 | RAILROAD MEDICARE GROUP NUMBER |
| 01 (OR) | 4540570001 | MEDICARE DMERC |
| 05 (ID) | 807150700 |
Practice context
Single-site organization. Only one practice location on file.
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